KELLIE MICHELLE ROSS LCAS NPI 1417321563

NPI Information

  • NPI: 1417321563
  • Provider Name: KELLIE MICHELLE ROSS, LCAS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 439 RAMSEY ST
    FAYETTEVILLE, NC
    ZIP 28301
  • Phone: (919) 787-6131

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NPI Details

Kellie Michelle Ross, LCAS is an addiction (substance use disorder) counselor in Fayetteville, NC. Kellie Michelle Ross, LCAS NPI is 1417321563. 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:

439 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28301-909
Phone: (919) 787-6131

The NPI 1417321563 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 11/30/2015 and was last updated on 3/5/2025.

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
1101YM0800XCounselorMental HealthLCAS-21914NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-21914NORTH CAROLINAYes

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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