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

MS. Quintisia Berete Kelly

Individual provider Professional Counselor · NPI 1790521649

MS. Quintisia Berete Kelly is a Mental Health Counselor in Macon, Georgia. Qualified in 2022, 4 years ago. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2024

Practice location Address checks out

2198 Ingleside Ave
Macon, GA 31204-2030
Phone: (803) 260-5807
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC015806 (GA)

Record details

NPI number1790521649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

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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