KELLY REBECCA PETACCIO (MS LPC CPCS) – Mental Health Counselor, NPI 1669751160

KELLY REBECCA PETACCIO (MS LPC CPCS) is a healthcare provider. based in Peachtree city, Georgia. specializing in Mental Health Counselor. They hold the professional credentials MS LPC CPCS. They hold a License No. LPC008109 (GA). The NPI Number for KELLY REBECCA PETACCIO (MS LPC CPCS) is 1669751160

Main info

Female
Sole Proprietor
Name
KELLY REBECCA PETACCIO (MS LPC CPCS)
NPI
1669751160
Phone
(770) 519-2743
Address
130 GOVERNORS SQ STE B
Enumeration Date
15 August 2011
Last Update Date
27 January 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KELLY REBECCA PETACCIO (MS LPC CPCS)

  • 130 GOVERNORS SQ STE B

    PEACHTREE CITY, GA 302694862

    Phone: (770) 519-2743

    Type: Mailing

  • 2005 Cabot Blvd W

    Langhorne, PA 190471885

    Phone: (267) 587-2300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 30269)

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Frequently asked questions

Does KELLY REBECCA PETACCIO (MS LPC CPCS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY REBECCA PETACCIO (MS LPC CPCS) uses 1669751160.
Is KELLY REBECCA PETACCIO (MS LPC CPCS) still practicing?
KELLY REBECCA PETACCIO (MS LPC CPCS) is currently listed as active in the public NPI registry.
What is KELLY REBECCA PETACCIO (MS LPC CPCS)'s specialty?
The listing groups KELLY REBECCA PETACCIO (MS LPC CPCS) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What area does KELLY REBECCA PETACCIO (MS LPC CPCS) serve?
KELLY REBECCA PETACCIO (MS LPC CPCS)'s listing highlights Peachtree City, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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