KELLY MAE SMITH COSTELLO
NPI 1023723210
Counselor - Mental Health in Wenatchee, WA
About Kelly Mae Smith Costello NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MAE SMITH COSTELLO (NPI 1023723210) is an individual mental health provider in Wenatchee, Washington, licensed in Washington (LH70024621) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Kelly Mae Smith Costello 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Smith Costello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Washington enrollment
- 519 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.
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.
WENATCHEE, WA 98801
WENATCHEE, WA 98801
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 Kelly Smith Costello's NPI number?
The NPI number for Kelly Smith Costello is 1023723210. It was assigned to this individual provider in the NPPES registry on January 23, 2023.
Where is Kelly Smith Costello located?
Kelly Smith Costello practices at 1230 Monitor St, Wenatchee, WA 98801. The listed phone number is (509) 300-1221.
What is Kelly Smith Costello's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Smith Costello enrolled in Medicare?
Yes. Kelly Smith Costello 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 organizations bill Medicare for Kelly Smith Costello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Smith Costello reassigns Medicare benefits to 2 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA) and Grow Healthcare Group PA (Miami, FL). Each 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 Kelly Smith Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Smith Costello accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Smith Costello 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 Kelly Smith Costello was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Mae Smith Costello · NPI 1023723210
Mental Health provider in Wenatchee, Washington. Individual provider, active in the CMS NPPES registry since January 23, 2023.
## Identity
- **NPI:** 1023723210 (Entity type: Individual)
- **Enumerated:** January 23, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH70024621 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1230 MONITOR ST, Wenatchee, WA 98801-3534
- **Phone:** (509) 300-1221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023723210) · Data from the CMS NPPES public registry.