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ALEXANDRA MAY KELLY CT
NPI 1013532472
Counselor - Mental Health in Beachwood, OH

Active since June 11, 2020PECOS Enrolled
24200 CHAGRIN BLVD, BEACHWOOD, OH 44122(440) 578-8200 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 10, 2022, Jun 11, 2020 (2 updates tracked since 2020).

About Alexandra May Kelly Ct NPPES

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

ALEXANDRA MAY KELLY CT (NPI 1013532472) is an individual mental health provider in Beachwood, Ohio, licensed in Ohio (E.2404719) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013532472
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALEXANDRA MAY KELLYCredential: CT
Location Address24200 CHAGRIN BLVDBeachwood, OH 44122-5550
Mailing Address7232 Justin WayMentor, OH 44060-4881 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorYes
Enumeration DateJune 11, 2020
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1013532472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · E.2404719
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
24200 CHAGRIN BLVD, Beachwood, OH 44122
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1960 Graham Rd Unit 3Cuyahoga Falls, OH 44221 · Phone (330) 606-9262
Location 222001 Fairmount BlvdShaker Heights, OH 44118-4819 · Phone (216) 932-2800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra May Kelly Ct is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Alexandra Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc.
6.6 mi
Mental Health
5410 TRANSPORTATION BLVD, UNIT 4
Garfield Heights, OH 44125
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1679767289 (216) 663-6100

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE HASSELL
Licensed Practical Nurse
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-6466
HANNAH SIMON
Counselor
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (440) 578-8200
MARTINA FABIAN
Licensed Practical Nurse
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (440) 578-8200
JAMES WOLEN
Social Worker (Clinical)
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-6466
DEBORAH A LUDWIG
Registered Nurse
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (440) 953-9999
VICTORIA TREMELIN
Case Manager/Care Coordinator
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-6466
KATHRYN WEBB R.N.
Registered Nurse
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (216) 831-6466
CHRISTA DRAKULIC
Student in an Organized Health Care Education/Training Program
24200 CHAGRIN BLVD
BEACHWOOD, OH 44122
Cuyahoga County (440) 953-9999

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 Alexandra Kelly's NPI number?

The NPI number for Alexandra Kelly is 1013532472. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Alexandra Kelly located?

Alexandra Kelly practices at 24200 Chagrin Blvd, Beachwood, OH 44122. The listed phone number is (440) 578-8200.

What is Alexandra Kelly's specialty?

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

Is Alexandra Kelly enrolled in Medicare?

Yes. Alexandra Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Kelly reassigns Medicare benefits to Signature Health, Inc. (Garfield Heights, OH). 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 Alexandra Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Alexandra Kelly 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 Alexandra Kelly was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.