LAUREN KELLY (LPC) – Counselor, NPI 1023644101

LAUREN KELLY (LPC) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. PC014763 (PA). The NPI Number for LAUREN KELLY (LPC) is 1023644101

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN KELLY (LPC)
NPI
1023644101
Phone
(215) 925-2400
Address
1401 S 31ST ST FL 2
Enumeration Date
20 March 2020
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108259400
Graduation Year
2013 (13 years ago)
PAC ID
7214387927
Group Practice PAC ID
2163400599
Professional Enrollment ID
I20231221000676
Address ID
PA194621667PL523XXRDXX301

Contacts

Secure Messaging
lkelly@e-csc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

2,541 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for LAUREN KELLY (LPC)

  • 1401 S 31ST ST FL 2

    PHILADELPHIA, PA 191463506

    Phone: (215) 925-2400

    Fax: (215) 925-9162

    Type: Mailing

  • 500 E LANCASTER AVE UNIT 130D

    ST DAVIDS, PA 190875032

    Phone: (215) 272-1045

    Type: Location

  • 335 S FRANKLIN ST

    WILKES BARRE, PA 187023808

    Phone: (570) 825-6425

    Type: Mailing

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: 2023-12-21

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
I20231221000676IMental Health CounselorPATBD

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 19146)

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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: 2163400599View full group profile
NameSpecialtyState
Mental Health CounselorPA
Nurse PractitionerPA
Mental Health CounselorVA
Clinical Social WorkerPA
Mental Health CounselorPA
-PA
Clinical Social WorkerPA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

What is the registry number for LAUREN KELLY (LPC)?
The registry entry for LAUREN KELLY (LPC) shows NPI 1023644101.
Is LAUREN KELLY (LPC)'s NPI status active today?
Active status means LAUREN KELLY (LPC)'s NPI record is not deactivated in the public file.
Which specialty label fits LAUREN KELLY (LPC)?
NPPES ties LAUREN KELLY (LPC) to Counselor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is LAUREN KELLY (LPC) tied to Philadelphia, Pennsylvania?
If you are local to Philadelphia, Pennsylvania, LAUREN KELLY (LPC) may be relevant to your search.
Can I export LAUREN KELLY (LPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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