KELLIE MEDLEY LCMHC
NPI 1992182596
Counselor - Mental Health in Hickory, NC

Active since May 04, 2015PECOS Enrolled
326 2ND AVE NW, HICKORY, NC 28601(828) 328-4313 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kellie Medley Lcmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE MEDLEY LCMHC (NPI 1992182596) is an individual mental health provider in Hickory, North Carolina, licensed in North Carolina (11505) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lenoir.

NPPES Registry Identity

NPI1992182596
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE MEDLEYCredential: LCMHC
Location Address326 2ND AVE NWHickory, NC 28601-4944
Mailing Address326 2nd Ave NwHickory, NC 28601-4944 · (828) 358-6493
Sole ProprietorNo
Enumeration DateMay 4, 2015
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1992182596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 11505
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License A11505 (NC)
326 2ND AVE NW, Hickory, NC 28601

Secondary Practice Location 1

Location 1222 Morganton Blvd SWLenoir, NC 28645-5219 · Phone (828) 610-2742 ext. 3310 · Fax (828) 758-8633

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Medley Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kellie Medley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
133 1ST AVE SE
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
326 2ND AVE NW
HICKORY, NC 28601
Counselor (Mental Health)
326 2ND AVE NW
HICKORY, NC 28601
Marriage & Family Therapist
326 2ND AVE NW
HICKORY, NC 28601
Speech-Language Pathologist
326 2ND AVE NW
HICKORY, NC 28601
Psychologist
326 2ND AVE NW
HICKORY, NC 28601
Counselor (Professional)
326 2ND AVE NW
HICKORY, NC 28601
Psychologist
326 2ND AVE NW
HICKORY, NC 28601
Psychologist (School)
326 2ND AVE NW
HICKORY, NC 28601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Medley's NPI number?

The NPI number for Kellie Medley is 1992182596. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Kellie Medley located?

Kellie Medley practices at 326 2nd Ave NW, Hickory, NC 28601. The listed phone number is (828) 328-4313.

What is Kellie Medley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kellie Medley enrolled in Medicare?

Yes. Kellie Medley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Medley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Medley reassigns Medicare benefits to Gaston Family Health Services, Inc (Hickory, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Medley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Medley accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Kellie Medley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Medley was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.