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

Kellie Michelle Ross, LCAS

Individual provider Mental Health Counselor · NPI 1417321563

Kellie Michelle Ross, LCAS is a Mental Health Counselor in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
Specialties on file
2

Practice location Address checks out

439 Ramsey St
Fayetteville, NC 28301-4909
Phone: (919) 787-6131
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-21914 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCAS-21914 (NC)

Record details

NPI number1417321563
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS
Sole proprietorYes
NPI enumeratedNovember 30, 2015
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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