MS. KELLY SMITH DWYER LPC NPI 1386490217

NPI Information

  • NPI: 1386490217
  • Provider Name: MS. KELLY SMITH DWYER, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1811 KING ST
    PORTSMOUTH, VA
    ZIP 23704
  • Phone: (757) 393-8618

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NPI Details

MS. Kelly Smith Dwyer, LPC is a professional counselor in Portsmouth, VA with 22 years of experience. MS. Kelly Smith Dwyer, LPC NPI is 1386490217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1811 KING ST
PORTSMOUTH, VA
ZIP 23704-032
Phone: (757) 393-8618

The NPI 1386490217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/30/2024 and was last updated on 4/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor0701013510VIRGINIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)0701013510VIRGINIANo
3101YM0800XCounselorMental Health0701013510VIRGINIANo
4101YP2500XCounselorProfessional0701013510VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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