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MS. SUSAN R KELLEY M.ED.
NPI 1093844193
Counselor - Mental Health in Falmouth, MA

Active since March 05, 2007PECOS Enrolled
200 TER HEUN DR, FALMOUTH, MA 02540(508) 540-6550(508) 540-7480 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Susan R Kelley M.ed. NPPES

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

MS. SUSAN R KELLEY M.ED. (NPI 1093844193) is an individual mental health provider in Falmouth, Massachusetts, licensed in Massachusetts (PENDING) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1093844193
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. SUSAN R KELLEYCredential: M.ED.
Location Address200 TER HEUN DRFalmouth, MA 02540-2525
Mailing Address128 Locust StFalmouth, MA 02540-2659 · (508) 540-3363
Phone(508) 540-6550
Fax(508) 540-7480
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093844193 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 MA · PENDING
200 TER HEUN DR, Falmouth, MA 02540
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan R Kelley M.ed. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840713384
PECOS Enrollment IDI20250326000286
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 Susan Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

432 Intentional Therapeutics Inc
6.6 mi
Mental Health (Including Community Mental Health Center)
400 NATHAN ELLIS HWY STE B
Mashpee, MA 02649
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2 clinicians in this Medicare group
NPI 1962121772 (774) 255-0635

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.

DAWN M VINCENT
Social Worker (Clinical)
200 TER HEUN DR, 200 TER HEUN DRIVE
FALMOUTH, MA 02540
Barnstable County (508) 540-6550
MS. JANET F. SALVADOR L.M.H.C. L.A.D.C1
Counselor (Mental Health)
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 540-6550
WILLIAM MICHAEL FERNEY LADC I
Counselor (Addiction (Substance Use Disorder))
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 540-6550
MR. JUDSON H. PHELPS LADC 1
Counselor (Addiction (Substance Use Disorder))
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 540-6550
MS. DALE S RHEAULT LCSW
Counselor (Addiction (Substance Use Disorder))
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 540-6550
RICHARD J MARTIN JD
Counselor
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 540-6550
CATHRYN ROSS M.ED.
Case Management
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (774) 392-0538
MATTHEW P CARROZO
Counselor (Addiction (Substance Use Disorder))
200 TER HEUN DR
FALMOUTH, MA 02540
Barnstable County (508) 540-6550

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 Susan Kelley's NPI number?

The NPI number for Susan Kelley is 1093844193. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Susan Kelley located?

Susan Kelley practices at 200 Ter Heun Dr, Falmouth, MA 02540. The listed phone number is (508) 540-6550.

What is Susan Kelley's specialty?

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

Is Susan Kelley enrolled in Medicare?

Yes. Susan Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kelley reassigns Medicare benefits to 432 Intentional Therapeutics Inc (Mashpee, MA). 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 Susan Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.