Provider Profile

Kelly R. Petaccio, MS LPC CPCS

Unclaimed Profile

About Kelly Petaccio

Listed in the NPI registry as a mental health counselor, Kelly R. Petaccio, MS LPC CPCS practices in Peachtree City, GA. NPI 1669751160 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2007

Specialty

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. LPC008109As reported
NPINational Provider Identifier
1669751160Issued 2011

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Kelly R. Petaccio's specialty?

Kelly R. Petaccio is a mental health counselor in Peachtree City, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Kelly R. Petaccio?

Kelly R. Petaccio is listed at 130 Governors Sq Ste B, Peachtree City, GA 30269. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Kelly R. Petaccio?

The number on file is (770) 519-2743. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kelly R. Petaccio's NPI number?

Kelly R. Petaccio's National Provider Identifier is 1669751160. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Kelly R. Petaccio's education?

Kelly R. Petaccio attended Other, graduating in 2007. This comes from the CMS National Downloadable File.

CMS public data

How long has Kelly R. Petaccio been practicing?

Kelly R. Petaccio has 19 years experience. Calculated from a graduation year of 2007, reported in the CMS National Downloadable File.

CMS public data

Has Kelly R. Petaccio confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kelly R. Petaccio. If this is you, claiming it is free.

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