KELLI REVELS (NPI# 1396196846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396196846 |
| Entity Type | Individual |
| Full Name | KELLI REVELS |
| Other Name | KELLI CHASE |
| Credential | LCAS, CSI |
| Practice Address |
901 Old Mars Hill Hwy Ste 3 Weaverville NC 28787 |
| Mailing Address |
515 Clanton Rd Charlotte NC 28217-1309 |
| Practice Telephone | 8286453687 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-22735 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 W Medical Ct, Marion, NC 287525590 | 8286593966 |
| Street Address |
901 OLD MARS HILL HWY STE 3 |
| City | WEAVERVILLE |
| State | NC |
| Zip Code | 28787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470026 | Stefanie Robinson | Registered Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2020-03-03 |
| 1760039598 | Candace Lynn Townsend | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-08-26 |
| 1336607001 | Hannah Clark | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-03-12 |
| 1306304043 | Patrice A Boudreaux | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-03-12 |
| 1265920599 | Emily Wright | Licensed Practical Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1922596253 | Wendy Mcetyre | Licensed Practical Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1649768987 | Erika Harrison | Licensed Practical Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1689162927 | Daniel Cawby | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1356839690 | Chelsa Thompson | Registered Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1336637677 | Michelle Vernon | Registered Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691389 | Fine Psychological Associates,pa | Psychologist | 392 Dula Springs Rd, Weaverville, NC 28787 | 2018-12-28 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1417294992 | Jane Adams Crowe | Pharmacist | 121 Monticello Rd., Weaverville, NC 28787 | 2013-01-03 |
| 1669724233 | Sisters of Mercy Urgent Care, Inc | Durable Medical Equipment & Medical Supplies | 61 Weaver Blvd Ste 105, Weaverville, NC 28787 | 2012-10-08 |
| 1821347246 | Michael Forrest Mcguire | Counselor | 1057 Lower Flat Creek Road, Weaverville, NC 28787 | 2012-08-30 |
| 1730445909 | Mary Elizabeth Hemphill | Speech-Language Pathologist | 975 Reems Creek Road, Weaverville, NC 28787 | 2012-04-02 |
| 1467724633 | Ann Stuart | Veterinarian | 68 North Main Street, Weaverville, NC 28787 | 2012-02-03 |
| 1174829865 | Melissa Mcminn | Counselor | 901 Old Mars Hill Hwy, Weaverville, NC 28787 | 2011-01-28 |
| 1245557487 | Michael Barry Beckerman | Optometrist | 6 Weaverville Plaza, Weaverville, NC 28787 | 2010-04-28 |
| 1558595462 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 146 Monticello Rd, Weaverville, NC 28787 | 2009-05-06 |
| Find all providers in zip 28787 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619426814 | Megan Stanton | Counselor | 2 S Main St Ste 30, Weaverville, NC 28787-8485 | 2016-09-28 |
| 1871952374 | Melissa Marie Zimmer | Counselor | 19 Loftin St, Weaverville, NC 28787-8863 | 2016-02-12 |
| 1376921320 | Samuel Hensley | Counselor | 11 Pickens Ln, Weaverville, NC 28787-9321 | 2015-05-11 |
| 1275978496 | Tanya E Menezes | Counselor | 31660 Ca-3, Weaverville, CA 96093 | 2013-05-01 |
| 1568714939 | Angela Marie Benson | Counselor | 1640 Main St., Weaverville, CA 96093 | 2012-10-10 |
| 1871864942 | Carol Mayfield | Counselor | 35 Reems Trace Rd, Weaverville, NC 28787-8414 | 2012-01-22 |
| 1174829865 | Melissa Mcminn | Counselor | 901 Old Mars Hill Hwy, Weaverville, NC 28787 | 2011-01-28 |
| 1518116920 | Mark E Vantuyl | Counselor | 14 Clover Mountain Ln, Weaverville, NC 28787-8857 | 2008-09-10 |
| 1760039598 | Candace Lynn Townsend | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-08-26 |
| 1336607001 | Hannah Clark | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-03-12 |
| Find all providers in WEAVERVILLE | ||||
| City | WEAVERVILLE |
| Zip Code | 28787 |
Please comment or provide details below to improve the information on KELLI REVELS.
| 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.