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KELLY ELIZABETH SZEWCZYK LPC, NCC
NPI 1104681543
Counselor - Professional in Randolph, NJ

Active since February 15, 2024PECOS Enrolled
27 ROSE WAY, RANDOLPH, NJ 07869(973) 800-3525 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Elizabeth Szewczyk Lpc, Ncc NPPES

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

KELLY ELIZABETH SZEWCZYK LPC, NCC (NPI 1104681543) is an individual professional provider in Randolph, New Jersey, licensed in New Jersey (37PC00975200) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104681543
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY ELIZABETH SZEWCZYKCredential: LPC, NCC
Location Address27 ROSE WAYRandolph, NJ 07869-1510
Mailing Address27 Rose WayRandolph, NJ 07869-1510 · (973) 800-3525
Phone(973) 800-3525
Sole ProprietorNo
Enumeration DateFebruary 15, 2024
Last NPPES UpdateMay 16, 2025
NPPES CertifiedMay 16, 2025
✔ NPI 1104681543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00975200
27 ROSE WAY, Randolph, NJ 07869
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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)

Kelly Elizabeth Szewczyk Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kelly Szewczyk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forge Medical Group, LLC
16 mi
Psychiatry
1500 PLEASANT VALLEY WAY STE 305
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
NPI 1962175026 (973) 535-0627
Grow Healthcare Group Of New Jersey PC
29 mi
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
NPI 1841949328 (201) 439-8902

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 Szewczyk's NPI number?

The NPI number for Kelly Szewczyk is 1104681543. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Kelly Szewczyk located?

Kelly Szewczyk practices at 27 Rose Way, Randolph, NJ 07869. The listed phone number is (973) 800-3525.

What is Kelly Szewczyk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Szewczyk enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Szewczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Szewczyk reassigns Medicare benefits to 2 organizations: Forge Medical Group, LLC (West Orange, NJ) and Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). Each 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 Szewczyk'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 Kelly Szewczyk was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.