Kelly Rebecca Petaccio, MS LPC CPCS
Mental Health Counselor · Peachtree City, GA
Kelly Rebecca Petaccio, MS LPC CPCS is a mental health counselor with a practice address in Peachtree City, Georgia, and NPI 1669751160, issued on Aug 15, 2011. Check the license (Georgia LPC008109, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kelly Rebecca Petaccio
- Credential
- MS LPC CPCS
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- LPC008109 GA
Self-reported in NPPES; status is on the state search - Practice location
- 130 Governors SQ Ste B, Peachtree City, GA 30269
- Phone
- (770) 519-2743
- Enumerated
- Aug 15, 2011
- Record last updated
- Jan 27, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20260430002239); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 4,878 in Georgia → Look up another NPI →
Also registered at 130 Governors SQ Ste B
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amy Jaynes, MS, LPC, NCC, CRCProfessional Counselor1538593579
- Deana Riley, L.P.C., C.P.C.S.Professional Counselor1811084429
Verify Kelly Rebecca Petaccio in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license LPC008109Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Kelly Rebecca Petaccio among 4,878 mental health counselor records in Georgia
Kelly Rebecca Petaccio, MS LPC CPCS is one of 4,878 mental health counselor records with a practice address in Georgia. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2011, is newer than 11% of them.
- NPI issued2011 · 11% of these records are older, 88% newer
- In a Medicare fileNo · 3% of these records are
- In the CMS Doctors and Clinicians fileYes · 6% of these records are
- Graduated2007 · median 2014 among the 292 with a school on file
- Record last updated2020 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
33 mental health counselor records list a practice address in Peachtree City
They are 33 of the 784 NPPES records with a practice address in Peachtree City, and 4,878 mental health counselor records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,878 in Georgia → Every provider in Peachtree City → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Sandra AletrarisPeachtree City, GA 302691477191898
- Monica Bell-Callahan, MA, LPC, NCCPeachtree City, GA 302691396169959
- Judith Cleveland, PH.D.Peachtree City, GA 302691629397492
- Meredith Draper, LAPCPeachtree City, GA 302691093259608
- Ruby Flowers-Aime, NCC, LAPCPeachtree City, GA 302691861864795
- Cassandra GreerPeachtree City, GA 302691649760679
- Donna Heinlen, LPCPeachtree City, GA 302691396951398
- Rebekah JonesPeachtree City, GA 302691871742544
Common questions
What is Kelly Rebecca Petaccio, MS LPC CPCS's NPI number?
Kelly Rebecca Petaccio, MS LPC CPCS's National Provider Identifier (NPI) is 1669751160, issued on Aug 15, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Rebecca Petaccio, MS LPC CPCS located?
The NPPES record lists a practice address at 130 Governors SQ Ste B, Peachtree City, GA, 30269. Phone: (770) 519-2743. Providers update this record themselves, so call before visiting.
How can I verify Kelly Rebecca Petaccio, MS LPC CPCS's license?
NPPES lists Georgia license number LPC008109, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.