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

Kacey Kelly

Individual provider Professional Counselor · NPI 1285501833

Kacey Kelly is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2025

Practice location Address checks out

39 N 3rd St Unit 2
Philadelphia, PA 19106-4508
Phone: (609) 658-5849
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC019469 (PA)

Record details

NPI number1285501833
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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