KELLEY DAY LPC
NPI 1063802213
Counselor - Mental Health in Boulder, CO

Q: What is Kelley Day's NPI number?

The NPI number for Kelley Day is 1063802213. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Q: What is Kelley Day's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Kelley Day enrolled in Medicare?

No. Kelley Day has opted out of Medicare through April 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelley Day was last updated on July 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2015Opted out of Medicare · through Apr 9, 2028

1501 YARMOUTH AVE, BOULDER, CO 80304(610) 809-6016 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelley Day Lpc NPPES

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

KELLEY DAY LPC (NPI 1063802213) is an individual mental health provider in Boulder, Colorado, licensed in Colorado (LPC.0017573) and active in the NPI registry since January 2015. She has opted out of Medicare through April 9, 2028.

NPPES Registry Identity

NPI1063802213

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLEY DAYCredential: LPC

Location Address1501 YARMOUTH AVEBoulder, CO 80304-0564

Mailing Address1510 Main St Apt 3Louisville, CO 80027-1698 · (610) 809-6016

Phone(610) 809-6016

Sole ProprietorNo

Enumeration DateJanuary 27, 2015

Last NPPES UpdateJuly 1, 2022

NPPES CertifiedJuly 1, 2022

✔ NPI 1063802213 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 CO · LPC.0017573

1501 YARMOUTH AVE, Boulder, CO 80304

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Kelley Day Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 9, 2024 through April 9, 2028.

Opt-Out Effective DateApril 9, 2024

Opt-Out In Effect ThroughApril 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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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.

JEREMY ELLIS

Counselor (Mental Health)