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KELLY A THOMPSON LICENSED MENTAL HEAL
NPI 1114449709
Counselor - Mental Health in Orchard Park, NY

Active since July 14, 2017PECOS Enrolled
5800 BIG TREE RD, ORCHARD PARK, NY 14127(716) 662-7337(716) 662-0641 Get Directions Write a Review

NPPES record last updated: July 14, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly A Thompson Licensed Mental Heal NPPES

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

KELLY A THOMPSON LICENSED MENTAL HEAL (NPI 1114449709) is an individual mental health provider in Orchard Park, New York, licensed in New York (004737-1) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1114449709
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY A THOMPSONCredential: LICENSED MENTAL HEAL
Location Address5800 BIG TREE RDOrchard Park, NY 14127
Mailing Address5800 Big Tree RoadOrchard Park, NY 14127 · (716) 662-7337 · Fax (716) 662-0641
Phone(716) 662-7337
Fax(716) 662-0641
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 14, 2017
✔ NPI 1114449709 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 NY · 004737-1
5800 BIG TREE RD, Orchard Park, NY 14127
Open in Google Maps ↗

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)

Kelly A Thompson Licensed Mental Heal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032693908
PECOS Enrollment IDI20260318003217
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 Kelly Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moona Medical Group Of New Jersey PC
282 mi
Mental Health
221 RIVER ST STE 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New York enrollment
  • 14 clinicians in this Medicare group
NPI 1609685007 (503) 427-8095

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 15

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

DR. GERALD A LAURIA M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
MR. PAUL SANDELL
Physician Assistant
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
DR. AMANDA MARIE WOLFLEY M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
CHEREVE HUPKOWICZ
Nurse Practitioner
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
SUSAN KISSEL-MAUTE CPNP
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
SHAYE CLINE MSW
Social Worker
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
DR. MARY E SCHAMANN M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337
JENNIFER MILLER M.D.
Pediatrics
5800 BIG TREE RD
ORCHARD PARK, NY 14127
Erie County (716) 662-7337

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 Thompson's NPI number?

The NPI number for Kelly Thompson is 1114449709. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Kelly Thompson located?

Kelly Thompson practices at 5800 Big Tree Rd, Orchard Park, NY 14127. The listed phone number is (716) 662-7337.

What is Kelly Thompson's specialty?

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

Is Kelly Thompson enrolled in Medicare?

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

Which organization bills Medicare for Kelly Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Thompson reassigns Medicare benefits to Moona Medical Group Of New Jersey PC (Hoboken, NJ). 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 Kelly Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Thompson accept?

Health plans from Oscar Health list Kelly Thompson 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 Kelly Thompson was last updated on July 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.