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KELLY R WALSH
NPI 1154168573
Counselor - Mental Health in San Diego, CA

Active since July 12, 2024PECOS EnrolledAccepts Medicare Assignment
4744 CORONADO AVE, SAN DIEGO, CA 92107(301) 412-2938 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly R Walsh NPPES

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

KELLY R WALSH (NPI 1154168573) is an individual mental health provider in San Diego, California, licensed in Maryland (LCPC4915) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2010).

NPPES Registry Identity

NPI1154168573
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY R WALSH
Location Address4744 CORONADO AVESan Diego, CA 92107-3543
Mailing Address4744 Coronado AveSan Diego, CA 92107-3543 · (301) 412-2938
Phone(301) 412-2938
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2010
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1154168573 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 MD · LCPC4915
4744 CORONADO AVE, San Diego, CA 92107
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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

Kelly R Walsh 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 ID3476089541
PECOS Enrollment IDI20241212001539
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.

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 Walsh's NPI number?

The NPI number for Kelly Walsh is 1154168573. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Kelly Walsh located?

Kelly Walsh practices at 4744 Coronado Ave, San Diego, CA 92107. The listed phone number is (301) 412-2938.

What is Kelly Walsh's specialty?

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

Is Kelly Walsh enrolled in Medicare?

Yes. Kelly Walsh 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.

When was this NPI record last updated?

The NPPES record for Kelly Walsh was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.