KELLY PHILLIPS LICSW LLC
NPI 1043933203
Community/Behavioral Health in South Hadley, MA

Q: What is Kelly Phillips Licsw LLC's NPI number?

The NPI number for Kelly Phillips Licsw LLC is 1043933203. It was assigned to this organization in the NPPES registry on September 22, 2022.

Q: What is Kelly Phillips Licsw LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since September 22, 2022

5 OAK AVE, SOUTH HADLEY, MA 01075(508) 735-1696(413) 417-2546 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Oct 30, 2023, Sep 22, 2022 (3 updates tracked since 2022).

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About Kelly Phillips Licsw Llc NPPES

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

KELLY PHILLIPS LICSW LLC (NPI 1043933203) is a healthcare organization registered as a community/behavioral health in South Hadley, Massachusetts and active in the NPI registry since September 2022. The organization lists Kelly J Phillips, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1043933203

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameKELLY PHILLIPS LICSW LLC

Location Address5 OAK AVESouth Hadley, MA 01075-2627

Mailing Address5 Oak AveSouth Hadley, MA 01075-2627 · (508) 735-1696 · Fax (413) 417-2546

Phone(508) 735-1696

Fax(413) 417-2546

Organization SubpartNo

Authorized OfficialKelly J PhillipsOwner/therapist · (508) 735-1696

Enumeration DateSeptember 22, 2022

Last NPPES UpdateApril 27, 20263 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1043933203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

5 OAK AVE, South Hadley, MA 01075

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Phillips Licsw Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Phillips Licsw LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Phillips, LICSW

Clinical Social Worker

NPI 1871192906

5 OAK AVE
South Hadley, MA 01075

(508) 735-1696

✔ PECOS✔ Accepts MedicareSame address

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

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 Phillips Licsw LLC's NPI number?

The NPI number for Kelly Phillips Licsw LLC is 1043933203. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Kelly Phillips Licsw LLC located?

Kelly Phillips Licsw LLC is located at 5 Oak Ave, South Hadley, MA 01075. The listed phone number is (508) 735-1696.

What is Kelly Phillips Licsw LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kelly Phillips Licsw LLC enrolled in Medicare?

Yes. Kelly Phillips Licsw LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Phillips Licsw LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kelly Phillips Licsw LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Phillips Licsw LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.