Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charissa Gene Kelly, MACFY/SLP

Individual provider Speech-Language Pathologist · NPI 1427575042

Charissa Gene Kelly, MACFY/SLP is a Mental Health Counselor in Somerset, Kentucky. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

303 Second St
Somerset, KY 42501-2390
Phone: (606) 677-1166
Fax: (606) 677-0693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 243267 (KY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 174282 (KY)
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1427575042
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACFY/SLP
Sole proprietorYes
NPI enumeratedAugust 24, 2017
Last updated in NPPESDecember 7, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Somerset