KELLI J JERAY MA LPC
NPI 1114582491
Counselor - Professional in Garland, TX

Q: What is Kelli Jeray's NPI number?

The NPI number for Kelli Jeray is 1114582491. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Q: What is Kelli Jeray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Jeray was last updated on May 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment

3256 SOUTHERN DR STE 461, GARLAND, TX 75043(469) 560-1635 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelli J Jeray Ma Lpc NPPES

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

KELLI J JERAY MA LPC (NPI 1114582491) is an individual professional provider in Garland, Texas, licensed in Texas (74573) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1114582491

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLI J JERAYCredential: MA LPC

Location Address3256 SOUTHERN DR STE 461Garland, TX 75043-1533

Mailing Address970 W Yellowjacket Ln Apt 516Rockwall, TX 75087-4841 · (469) 560-1634

Phone(469) 560-1635

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMay 2, 2019

✔ NPI 1114582491 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 TX · 74573

3256 SOUTHERN DR STE 461, Garland, TX 75043

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelli J Jeray Ma Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052754447

PECOS Enrollment IDI20240213003223

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.

Other Providers at the Same Location NPPES 19

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

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