Terry Kelly, LPC - Counselor in Fairbanks, AK

Terry Kelly, LPC is a Counselor - Professional based in Fairbanks, Alaska. Terry Kelly is licensed to practice in Alaska (license number 488) and his current practice location is 1716 University Ave S, Fairbanks, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 322-6940.

NPI number for Terry Kelly is 1053494898 and his current mailing address is Po Box 80282, Fairbanks, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053494898.

Contact Information

Terry Kelly, LPC
1716 University Ave S,
Fairbanks, AK 99709-4904
(907) 322-6940
(907) 455-4434

Map and Direction


Healthcare Provider's Profile

Full NameTerry Kelly
GenderMale
SpecialityCounselor - Professional
Location1716 University Ave S, Fairbanks, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053494898
  • Provider Enumeration Date: 10/23/2006
  • Last Update Date: 06/27/2012

Medical Identifiers

Medical identifiers for Terry Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053494898NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 488 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terry Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terry Kelly, LPC
Po Box 80282,
Fairbanks, AK 99708-0282

Ph: (907) 322-6940
Terry Kelly, LPC
1716 University Ave S,
Fairbanks, AK 99709-4904

Ph: (907) 322-6940

Reviews and Comments


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Phone: 907-474-0890    Fax: 907-474-3621
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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