DR. KELLY CARL FELLER PHD, LCSW
NPI 1134417132
Social Worker - Clinical in Bountiful, UT

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment
537 W 2600 S, SUITE 203, BOUNTIFUL, UT 84010(801) 809-1049 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kelly Carl Feller Phd, Lcsw NPPES

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

DR. KELLY CARL FELLER PHD, LCSW (NPI 1134417132) is an individual clinical provider in Bountiful, Utah, licensed in Utah (7057775-3501) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134417132
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. KELLY CARL FELLERCredential: PHD, LCSW
Location Address537 W 2600 S, SUITE 203Bountiful, UT 84010-7779
Mailing Address1048 E Fairway DrNorth Salt Lake, UT 84054-3056 · (801) 809-1049
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 12, 2011
Last NPPES UpdateJuly 14, 2011
NPI 1134417132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 7057775-3501
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

537 W 2600 S, Bountiful, UT 84010

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

Dr. Kelly Carl Feller Phd, Lcsw 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 ID8325282247
PECOS Enrollment IDI20130916000606
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
237 services20 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Psychiatric/Mental Health)
537 W 2600 S, #203
BOUNTIFUL, UT 84010
Social Worker
537 W 2600 S
BOUNTIFUL, UT 84010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134417132, enumerated as an "individual" on July 12, 2011.

The provider is located at 537 W 2600 S SUITE 203 BOUNTIFUL, UT 84010 and the phone number is (801) 809-1049.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.