MEDICARE: KELSEY FEHLNER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701015745	VA

General Provider Information

NPI Number	:	1912864869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY FEHLNER LPC

Provider Business Mailing Address
First Line	:	830 SOUTHLAKE BLVD STE B
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-3935
Country	:	US
Telephone Number	:	804-466-3130
Fax Number	:	804-630-0665

Provider Business Practice Location Address
First Line	:	4906 CUTSHAW AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-3630
Country	:	US
Telephone Number	:	804-466-3130
Fax Number	:	804-630-0665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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