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

Kelsey D Leveridge

Individual provider Counselor · NPI 1679224257

Kelsey D Leveridge is a Mental Health Counselor in Hazard, Kentucky. Qualified in 2019, 7 years ago. Practices with Primary Care Centers of Eastern Kentucky LLC, a 47-clinician group. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

101 Town And Country Ln Ste 106
Hazard, KY 41701-9524
Phone: (606) 435-7557
Fax: (606) 435-7558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 277285 (KY)
Counselor Taxonomy 101Y00000X · Licence 260760 (KY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 277285 (KY)

Record details

NPI number1679224257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing addressPo Box 2011, Hazard, KY 41702-2011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Primary Care Centers Of Eastern Kentucky Llc — 47 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Hazard