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

Mrs. Kimberly Ann Kelly, LPC

Individual provider Counselor · NPI 1992944870

Mrs. Kimberly Ann Kelly, LPC is a Mental Health Counselor in Tupelo, Mississippi. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2009
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2164 Southridge Dr
Tupelo, MS 38801-6417
Phone: (662) 760-0115
Fax: (662) 596-0428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 238 County Road 2446, Guntown, MS 38849-9106 — (662) 760-0115

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 1923 (MS)
Counselor Taxonomy 101Y00000X · Licence 1923 (MS)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 1923 (MS)

Record details

NPI number1992944870
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 17, 2009
Last updated in NPPESJanuary 29, 2025
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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