MATTHEW KELLY MFT-I, CPC-I, LCADCI
NPI 1124704663
Counselor - Professional in Las Vegas, NV

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
4011 MCLEOD DR, LAS VEGAS, NV 89121(979) 251-0014 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Kelly Mft-i, Cpc-i, Lcadci NPPES

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

MATTHEW KELLY MFT-I, CPC-I, LCADCI (NPI 1124704663) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (CI5251) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124704663
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW KELLYCredential: MFT-I, CPC-I, LCADCI
Location Address4011 MCLEOD DRLas Vegas, NV 89121-4305
Mailing Address451 Crestdale Ln Apt 64Las Vegas, NV 89144-1007 · (979) 251-0014
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1124704663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NV · CI5251
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 07347-LCI (NV)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MI4215 (NV)
4011 MCLEOD DR, Las Vegas, NV 89121

Accepted 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

Matthew Kelly Mft-i, Cpc-i, Lcadci 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 ID9739673542
PECOS Enrollment IDI20251209004291
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 5

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

Counselor (Addiction (Substance Use Disorder))
4011 MCLEOD DR
LAS VEGAS, NV 89121
Counselor (Mental Health)
4011 MCLEOD DR
LAS VEGAS, NV 89121
Counselor (Addiction (Substance Use Disorder))
4011 MCLEOD DR
LAS VEGAS, NV 89121
Substance Abuse Rehabilitation Facility
4011 MCLEOD DR, BLDG A
LAS VEGAS, NV 89121
Substance Abuse Rehabilitation Facility
4011 MCLEOD DR
LAS VEGAS, NV 89121

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 Matthew Kelly's NPI number?

The NPI number for Matthew Kelly is 1124704663. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Matthew Kelly located?

Matthew Kelly practices at 4011 Mcleod Dr, Las Vegas, NV 89121. The listed phone number is (979) 251-0014.

What is Matthew Kelly's specialty?

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

Is Matthew Kelly enrolled in Medicare?

Yes. Matthew Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Kelly accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Matthew Kelly 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 Matthew Kelly was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.