CAROLINE KELLY LPCC
NPI 1164916789
Counselor - Professional in Golden Valley, MN

Q: What is Caroline Kelly's NPI number?

The NPI number for Caroline Kelly is 1164916789. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Q: What is Caroline Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caroline Kelly was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 18, 2018PECOS Enrolled

4969 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422(763) 575-8086 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Nov 15, 2024, Jun 18, 2018 (3 updates tracked since 2018).

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About Caroline Kelly Lpcc NPPES

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

CAROLINE KELLY LPCC (NPI 1164916789) is an individual professional provider in Golden Valley, Minnesota, licensed in Minnesota (4175) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164916789

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameCAROLINE KELLYCredential: LPCC

Location Address4969 OLSON MEMORIAL HWYGolden Valley, MN 55422-5138

Mailing Address4969 Olson Memorial HwyGolden Valley, MN 55422-5138 · (763) 575-8086

Phone(763) 575-8086

Sole ProprietorNo

Enumeration DateJune 18, 2018

Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1164916789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · 4175

4969 OLSON MEMORIAL HWY, Golden Valley, MN 55422

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Kelly Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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

DANIELLE MARIE AUDETTE MA, LPCC, LADC

Counselor (Professional)