Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidi Lynn Kelly

Individual provider Professional Counselor · NPI 1336089366

Heidi Lynn Kelly is a Mental Health Counselor in Kutztown, Pennsylvania. Qualified in 2021, 5 years ago. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2026

Practice location Address checks out

94 Ebling Rd
Kutztown, PA 19530-9102
Phone: (484) 437-8370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC017155 (PA)

Record details

NPI number1336089366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 17, 2026
Mailing address94 Ebling Rd, Kutztown, PA 19530-9102

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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