Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Caroline Kelly, LCMHC, LCAS, NCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134890429

Kathryn Caroline Kelly, LCMHC, LCAS, NCC is an Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone: (910) 960-7398
Fax: (855) 595-2573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11759 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-22979 (NC)

Record details

NPI number1134890429
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS , NCC
Sole proprietorYes
NPI enumeratedSeptember 26, 2021
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

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