MRS. SUZANNE AUTREY KELLY (NPI# 1366420192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366420192 |
| Entity Type | Individual |
| Full Name | MRS. SUZANNE AUTREY KELLY |
| Credential | LPC,LCAS,CEAP,LEAP |
| Practice Address |
110 W Elm St Yadkinville NC 27055-1758 |
| Mailing Address |
120 Walnut Ave Yadkinville NC 27055-5752 |
| Practice Telephone | 3366773991 |
| Practice Fax Number | 3366771359 |
| Mailing Telephone | 3364661053 |
| Mailing Fax Number | 3366771359 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 60 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1223 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1070 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6112226 | 05 | |
| NC | BCBS OF NORTH CAROLINA | 1005H | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649532250 | Suzanne Kelly | Specialist | 65 Middle Rd, Blue Point, NY 11715-1918 | 2012-06-10 |
| 1811276611 | Suzanne D Kelly | Social Worker | 323 Mill Rd, Westhampton Beach, NY 11978 | 2011-08-10 |
| 1801977863 | Suzanne Maxine Kelly | Marriage & Family Therapist | 2520 Coon Rapids Blvd Nw Ste 260, Coon Rapids, MN 55433-3908 | 2006-10-18 |
| 1912484254 | Suzanne S Kelly | Physical Therapy Assistant | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-07-19 |
| 1811300742 | Suzanne Kelly | Nurse Practitioner | 218 Main St, Cold Spring, MN 56320-2533 | 2014-06-09 |
| 1881036127 | Suzanne Kelly | Counselor | 200 N 7th St, Lebanon, PA 17046-5040 | 2013-07-29 |
| 1235396151 | Suzanne Kelly | Physical Therapist | 901 N Curtis Rd Ste 204, Boise, ID 83706-1340 | 2008-05-19 |
| 1275705485 | Suzanne Kuttler Kelly | Family Medicine | 4897 York Road, Buckingham, PA 18912-0278 | 2008-03-27 |
| Street Address |
110 W ELM ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104239474 | Blue Ridge Counseling | Counselor | 110 W Elm St, Yadkinville, NC 27055-8203 | 2014-06-04 |
| 1891989752 | H. Diane Jenkins, LLC | Community/Behavioral Health | 110 W Elm St, Yadkinville, NC 27055-3313 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1790249969 | Jodi Province Counseling Services Pllc | Counselor | 714 Carolina Ave Ste A, Yadkinville, NC 27055-7760 | 2019-01-22 |
| 1063923548 | Jennifer Rebecca Jones | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2017-10-23 |
| 1255748026 | Janell Lafaye Jordan | Counselor | 403 E Main St, Yadkinville, NC 27055-8134 | 2014-07-14 |
| 1053564500 | Carol Marie Zordano | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2008-10-28 |
| 1518160019 | Joanna Linn | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-06-11 |
| 1679781249 | Christoper Shane Bailey | Counselor | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1770190324 | Brittany B Greer | Counselor | 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 | 2020-09-28 |
| 1497361505 | Kisha Monique Lendore | Counselor | 2133 Rowland Pond Dr, Willow Spring, NC 27592-7575 | 2020-09-23 |
| 1538774872 | Jamila Milnes Cainey | Counselor | 12026 Snapping Turtle Ln, Huntersville, NC 28078-2341 | 2020-09-14 |
| 1861007759 | James Carroll Pittman IIi | Counselor | 2301 Stonehenge Dr Ste 110, Raleigh, NC 27615-4379 | 2020-09-09 |
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1457962789 | Art of Expression, Pllc | Counselor | 125 Remount Rd Ste C1-1150, Charlotte, NC 28203-6458 | 2020-08-11 |
| 1043820715 | Keep Counsel | Counselor | 8320 Hardeth Way, Raleigh, NC 27616-3237 | 2020-08-06 |
| 1427667351 | Anna-marie H Inman | Counselor | 2557 James B White Hwy N, Whiteville, NC 28472-8975 | 2020-07-27 |
| 1730797200 | Shannon Gail Sauls | Counselor | 501 America Dr, Selma, NC 27576-6143 | 2020-07-21 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
Please comment or provide details below to improve the information on MRS. SUZANNE AUTREY KELLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.