KELLY LEUTY LCPC
NPI 1033406269
Counselor in Centralia, IL

Q: What is Kelly Leuty's NPI number?

The NPI number for Kelly Leuty is 1033406269. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Q: What is Kelly Leuty's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Leuty was last updated on January 2, 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.

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment

101 S LOCUST ST, CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Nov 14, 2019 (2 updates tracked since 2019).

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About Kelly Leuty Lcpc NPPES

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

KELLY LEUTY LCPC (NPI 1033406269) is an individual counselor in Centralia, Illinois, licensed in Illinois (180.009169) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alton, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1033406269

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLY LEUTYCredential: LCPC

Location Address101 S LOCUST STCentralia, IL 62801-3506

Mailing AddressPo Box 201Salem, IL 62881-0201

Phone(618) 533-1391

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 8, 2011

Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1033406269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in IL · 180.009169

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

101 S LOCUST ST, Centralia, IL 62801

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Secondary Practice Location 1

Location 14 Memorial Dr Ste 210Alton, IL 62002-6704 · Phone (618) 463-5905 · Fax (618) 463-5935

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 Leuty Lcpc 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 ID9133604531

PECOS Enrollment IDI20260403000098

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.

CHRISTIN LYNN WALL RN

Registered Nurse