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KAITLYN EILEEN KELLY
NPI 1073210225
Counselor - Mental Health in Garden City, NY

Active since February 08, 2023PECOS Enrolled
520 FRANKLIN AVE STE L1, GARDEN CITY, NY 11530(631) 371-3825 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn Eileen Kelly NPPES

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

KAITLYN EILEEN KELLY (NPI 1073210225) is an individual mental health provider in Garden City, New York and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073210225
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN EILEEN KELLY
Location Address520 FRANKLIN AVE STE L1Garden City, NY 11530-5892
Mailing Address77 Roxbury RdFranklin Square, NY 11010-4430 · (516) 754-0616
Phone(631) 371-3825
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1073210225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
520 FRANKLIN AVE STE L1, Garden City, NY 11530
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Eileen Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577020650
PECOS Enrollment IDI20260807004018
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 Kaitlyn Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rachel Lessard Lcsw PC
24 mi
Clinical
496 SMITHTOWN BYP STE 203
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1427693217 (631) 371-3825

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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA OSTROW
Counselor (Mental Health)
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (631) 371-3825
MICHELE BASHKIN LCSW
Social Worker (Clinical)
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (516) 515-0696
NAOMI MAZLIN
Social Worker (Clinical)
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (631) 371-3825
PATHWAYS WITHIN WISDOM AND WELLNESS COLLABORATIVE LLC
Clinic/Center (Multi-Specialty)
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (631) 371-3825
MADELINE ZAMBRI
Counselor (Mental Health)
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (631) 371-3825
ROBERT VILLANO LMSW
Social Worker
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (631) 371-3825
KELLY IMPERIAL MSW-LP
Social Worker
520 FRANKLIN AVE STE L1
GARDEN CITY, NY 11530
Nassau County (516) 366-1094

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 Kaitlyn Kelly's NPI number?

The NPI number for Kaitlyn Kelly is 1073210225. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Kaitlyn Kelly located?

Kaitlyn Kelly practices at 520 Franklin Ave Ste L1, Garden City, NY 11530. The listed phone number is (631) 371-3825.

What is Kaitlyn Kelly's specialty?

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

Is Kaitlyn Kelly enrolled in Medicare?

Yes. Kaitlyn Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Kelly reassigns Medicare benefits to Rachel Lessard Lcsw PC (Smithtown, NY). 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 Kaitlyn Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Kelly accept?

Health plans from Oscar Health list Kaitlyn Kelly 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 Kaitlyn Kelly was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.