MS. KELLI NICOLE BEATY (MS, LPC, ADC) – Professional Counselor, NPI 1437933348

MS. KELLI NICOLE BEATY (MS, LPC, ADC) is a healthcare provider. based in Dothan, Alabama. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC, ADC. They hold a License No. LPC04991 (AL). The NPI Number for MS. KELLI NICOLE BEATY (MS, LPC, ADC) is 1437933348

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLI NICOLE BEATY (MS, LPC, ADC)
NPI
1437933348
Phone
(334) 712-2720
Address
PO BOX 1245
Enumeration Date
22 August 2023
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347122720
Graduation Year
2019 (7 years ago)
PAC ID
7315384310
Group Practice PAC ID
3779509765
Professional Enrollment ID
I20240326003694
Address ID
AL363032165DO3542XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

390 MENTAL HEALTH COUNSELOR in AL

Provider Addresses for MS. KELLI NICOLE BEATY (MS, LPC, ADC)

  • PO BOX 1245

    DOTHAN, AL 363021245

    Phone: (334) 712-2720

    Type: Mailing

  • 1672 COLUMBIA HWY

    DOTHAN, AL 363035434

    Phone: (334) 712-2720

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240326003694IMental Health CounselorALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779509765View full group profile
NameSpecialtyState
P S Y C H I A T R YTN
Mental Health CounselorAL
Family PracticeFL
Mental Health CounselorAL
Mental Health CounselorAL
Mental Health CounselorAL
Mental Health CounselorAL
Nurse PractitionerAL
P S Y C H I A T R YAL
Mental Health CounselorAL

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Frequently asked questions

What NPI should I save for MS. KELLI NICOLE BEATY (MS, LPC, ADC)?
Save NPI 1437933348 if you need a stable reference for MS. KELLI NICOLE BEATY (MS, LPC, ADC).
Is MS. KELLI NICOLE BEATY (MS, LPC, ADC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. KELLI NICOLE BEATY (MS, LPC, ADC)?
The page reflects Professional Counselor for MS. KELLI NICOLE BEATY (MS, LPC, ADC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. KELLI NICOLE BEATY (MS, LPC, ADC)?
The page summarizes Dothan, Alabama for MS. KELLI NICOLE BEATY (MS, LPC, ADC); expand the address list for detail.
Is MS. KELLI NICOLE BEATY (MS, LPC, ADC) a real provider?
This page reflects official NPPES data for NPI 1437933348. Always confirm identity and privileges with the practice and licensing boards.

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