KENT RYAN KELLEY
NPI 1003449802
Counselor - Mental Health in Sarasota, FL

Active since February 20, 2020PECOS EnrolledAccepts Medicare Assignment
306 ISLAND CIR, SARASOTA, FL 34242(941) 307-3592 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kent Ryan Kelley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT RYAN KELLEY (NPI 1003449802) is an individual mental health provider in Sarasota, Florida, licensed in Montana (BBH-LCPC-LIC-11444) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1003449802
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKENT RYAN KELLEY
Location Address306 ISLAND CIRSarasota, FL 34242-1938
Mailing Address306 Island CirSarasota, FL 34242-1938 · (941) 307-3592
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 20, 2020
✔ NPI 1003449802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MT · BBH-LCPC-LIC-11444
306 ISLAND CIR, Sarasota, FL 34242

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kent Ryan Kelley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274983242
PECOS Enrollment IDI20240103002435
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kent Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kent Kelley's NPI number?

The NPI number for Kent Kelley is 1003449802. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Kent Kelley located?

Kent Kelley practices at 306 Island Cir, Sarasota, FL 34242. The listed phone number is (941) 307-3592.

What is Kent Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kent Kelley enrolled in Medicare?

Yes. Kent Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kent Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kent Kelley reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kent Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kent Kelley accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 8 other insurers list Kent Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kent Kelley was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.