Kelly Petaccio, MS LPC CPCS
NPI 1669751160 · Mental Health Counselor · Peachtree City, GA
Kelly Petaccio, MS LPC CPCS is a Mental Health Counselor provider in Peachtree City, GA (NPI 1669751160).
Provider details
- NPI number
- 1669751160
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS LPC CPCS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2005 Cabot Blvd WLanghorne, PA 19047-1885Phone: (267) 587-2300
Registry dates
- Enumerated
- 2011-08-15
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Frequently asked questions
- What is Kelly Petaccio's NPI number?
- Kelly Petaccio's National Provider Identifier (NPI) is 1669751160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Petaccio's specialty?
- Kelly Petaccio is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Petaccio located?
- Kelly Petaccio's practice location on file with NPPES is 130 Governors Sq Ste B, Peachtree City, GA 30269-4862.
- What is Kelly Petaccio's phone number?
- The practice phone number listed in the NPPES registry for Kelly Petaccio is (770) 519-2743.
- Is Kelly Petaccio's NPI active?
- Yes — Kelly Petaccio's NPI (1669751160) is active in the NPPES registry as of the last update on 2020-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.