KELLE A WATSON MA LPC
NPI 1164403085
Counselor - Professional in Virginia Beach, VA
About Kelle A Watson Ma Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLE A WATSON MA LPC (NPI 1164403085) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701005236) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelle A Watson 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelle Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mechanicsville, VA 23116
- Reassigned Medicare billing, Virginia enrollment
- 239 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA BEACH, VA 23452
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 Kelle Watson's NPI number?
The NPI number for Kelle Watson is 1164403085. It was assigned to this individual provider in the NPPES registry on November 8, 2005. The provider is also known as Kelle Audrey Watson Ma Lpc.
Where is Kelle Watson located?
Kelle Watson practices at 780 Lynnhaven Pkwy Ste 110, Virginia Beach, VA 23452. The listed phone number is (757) 301-8747.
What is Kelle Watson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelle Watson enrolled in Medicare?
Yes. Kelle Watson 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.
Which organization bills Medicare for Kelle Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelle Watson reassigns Medicare benefits to Commonwealth Counseling Associates Inc (Mechanicsville, VA). The 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 Kelle Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelle Watson was last updated on November 4, 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.
# Kelle A Watson, MA LPC · NPI 1164403085
Professional provider in Virginia Beach, Virginia. Individual provider, active in the CMS NPPES registry since November 8, 2005.
## Identity
- **NPI:** 1164403085 (Entity type: Individual)
- **Enumerated:** November 8, 2005
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701005236 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 780 LYNNHAVEN PKWY STE 110, Virginia Beach, VA 23452-7351
- **Phone:** (757) 301-8747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Commonwealth Counseling Associates Inc (NPI 1851345805, Mechanicsville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 4, 2024
- **Other identifiers:** Medicaid 30015758110002 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164403085) · Data from the CMS NPPES public registry.