PETER ANDREW KELLEY (LPCC) – Professional Counselor, NPI 1134607948

PETER ANDREW KELLEY (LPCC) is a healthcare provider. based in Lewis center, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. E.2404226 (OH). The NPI Number for PETER ANDREW KELLEY (LPCC) is 1134607948

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
PETER ANDREW KELLEY (LPCC)
NPI
1134607948
Phone
(614) 889-5722
Address
7100 GRAPHICS WAY STE 3100
Enumeration Date
2 August 2018
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404280428
Graduation Year
2019 (7 years ago)
PAC ID
6800237322
Group Practice PAC ID
8224020466
Professional Enrollment ID
I20240515003199
Address ID
OH430351123LE7100XWAYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

Provider Addresses for PETER ANDREW KELLEY (LPCC)

  • 7100 GRAPHICS WAY STE 3100

    LEWIS CENTER, OH 430350238

    Phone: (614) 889-5722

    Type: Location

  • 299, Cramer Creek Court, Dublin, Franklin, Ohio, 43017, United States

    DUBLIN, OH 430172586

    Phone: (614) 889-5722

    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: 2024-05-15

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
I20240515003199IMental Health CounselorOHTBD

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 43035)

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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: 8224020466View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH
Clinical Social WorkerOH
Mental Health CounselorOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Can I cross-check PETER ANDREW KELLEY (LPCC) using NPI 1134607948?
NPI 1134607948 belongs to PETER ANDREW KELLEY (LPCC); compare other details if you need extra assurance.
Is there an active status for PETER ANDREW KELLEY (LPCC)?
For scheduling context, PETER ANDREW KELLEY (LPCC) is shown as active in the registry.
How would a patient describe PETER ANDREW KELLEY (LPCC)'s focus?
For PETER ANDREW KELLEY (LPCC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is PETER ANDREW KELLEY (LPCC) associated with Lewis Center?
Public fields place PETER ANDREW KELLEY (LPCC) around Lewis Center, Ohio. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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