JILL MADSEN KELLY
NPI 1114741279
Clinic/Center - Mental Health (Including Community Mental Health Center) in Spokane, WA
About Jill Madsen Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL MADSEN KELLY (NPI 1114741279) is a healthcare organization registered as a mental health (including community mental health center) in Spokane, Washington and active in the NPI registry since November 2024. The organization lists Margaret Jill Harrison, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jill Madsen Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jill Madsen Kelly, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jill Madsen Kelly's NPI number?
The NPI number for Jill Madsen Kelly is 1114741279. It was assigned to this organization in the NPPES registry on November 14, 2024.
Where is Jill Madsen Kelly located?
Jill Madsen Kelly is located at 1404 E 11th Ave, Spokane, WA 99202. The listed phone number is (509) 290-2649.
What is Jill Madsen Kelly's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Jill Madsen Kelly enrolled in Medicare?
Yes. Jill Madsen Kelly is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jill Madsen Kelly?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jill Madsen Kelly. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jill Madsen Kelly was last updated on November 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Jill Madsen Kelly · NPI 1114741279
Mental Health (Including Community Mental Health Center) organization in Spokane, Washington. Organization record, active in the CMS NPPES registry since November 14, 2024.
## Identity
- **NPI:** 1114741279 (Entity type: Organization)
- **Enumerated:** November 14, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Margaret Harrison, OWNER
## Practice location
- **Address:** 1404 E 11TH AVE, Spokane, WA 99202-3502
- **Phone:** (509) 290-2649
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114741279) · Data from the CMS NPPES public registry.