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KELLY LEUTY LCPC
NPI 1033406269
Counselor in Centralia, IL

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: October 25, 2026.

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

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health 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 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.

Medicare Billing Reassignment

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

Southern Illinois Healthcare Foundation, Inc.
12 mi
Federally Qualified Health Center (FQHC)
1275 HAWTHORN RD
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
NPI 1376588848 (618) 548-4545

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.

CHRISTIN LYNN WALL RN
Registered Nurse
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
MS. SHARON COLLEEN MEYER BS CADC
Counselor (Addiction (Substance Use Disorder))
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
MR. TODD HOLSAPPLE MSW
Social Worker (Clinical)
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
THOMAS P SIMS LPC
Counselor (Professional)
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. MEGAN ELIZABETH STINNETT
Counselor (Addiction (Substance Use Disorder))
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
MRS. JAMIE LYNN KWIATKOWSKI MSED, NBCC, LPC
Counselor
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
SANDRA JEAN BELLEGANTE BA, MSW, LSW, CADC,
Counselor (Mental Health)
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391
ARTHUR GERALD NITZ B.A. CADC
Counselor (Addiction (Substance Use Disorder))
101 S LOCUST ST
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 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.

Where is Kelly Leuty located?

Kelly Leuty practices at 101 S Locust St, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Kelly Leuty's specialty?

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

Is Kelly Leuty enrolled in Medicare?

Yes. Kelly Leuty 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 Kelly Leuty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Leuty reassigns Medicare benefits to Southern Illinois Healthcare Foundation, Inc. (Salem, IL). 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 Kelly Leuty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Leuty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and UnitedHealthcare list Kelly Leuty 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 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 10 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.