KELLY MAE SMITH COSTELLO
NPI 1023723210
Counselor - Mental Health in Wenatchee, WA

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
1230 MONITOR ST, WENATCHEE, WA 98801(509) 300-1221 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, Mar 10, 2025, Jan 23, 2023 (3 updates tracked since 2023).

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

NPI1023723210
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MAE SMITH COSTELLO
Location Address1230 MONITOR STWenatchee, WA 98801-3534
Mailing Address1230 Monitor StWenatchee, WA 98801-3534 · (509) 300-1221
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1023723210 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 WA · LH70024621
1230 MONITOR ST, Wenatchee, WA 98801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1153808456
PECOS Enrollment IDI20260116001933
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.

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.

Nurse's Aide
1230 MONITOR ST
WENATCHEE, WA 98801
Social Worker
1230 MONITOR ST
WENATCHEE, WA 98801
Nurse's Aide
1230 MONITOR ST
WENATCHEE, WA 98801
Registered Nurse (Addiction (Substance Use Disorder))
1230 MONITOR ST
WENATCHEE, WA 98801
Technician, Other
1230 MONITOR ST
WENATCHEE, WA 98801
Nurse Anesthetist, Certified Registered
1230 MONITOR ST
WENATCHEE, WA 98801
Substance Abuse Rehabilitation Facility
1230 MONITOR ST
WENATCHEE, WA 98801
Peer Specialist
1230 MONITOR ST
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.

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 7 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.