KELLEY ANN MACDOUGALL
NPI 1174844260
Counselor - Mental Health in West Roxbury, MA
About Kelley Ann Macdougall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLEY ANN MACDOUGALL (NPI 1174844260) is an individual mental health provider in West Roxbury, Massachusetts and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kelley Ann Macdougall 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 Kelley Macdougall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01103
- Reassigned Medicare billing, Massachusetts enrollment
- 27 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelley Macdougall's NPI number?
The NPI number for Kelley Macdougall is 1174844260. It was assigned to this individual provider in the NPPES registry on June 12, 2010.
Where is Kelley Macdougall located?
Kelley Macdougall practices at 540 Vfw Pkwy, West Roxbury, MA 02132. The listed phone number is (617) 325-2993.
What is Kelley Macdougall's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelley Macdougall enrolled in Medicare?
Yes. Kelley Macdougall 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 Kelley Macdougall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Macdougall reassigns Medicare benefits to Community Services Institute, Inc. (Springfield, MA). 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 Kelley Macdougall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Macdougall accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kelley Macdougall 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 Kelley Macdougall was last updated on June 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kelley Ann Macdougall · NPI 1174844260
Mental Health provider in West Roxbury, Massachusetts. Individual provider, active in the CMS NPPES registry since June 12, 2010.
## Identity
- **NPI:** 1174844260 (Entity type: Individual)
- **Enumerated:** June 12, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 540 VFW PKWY, West Roxbury, MA 02132-1332
- **Phone:** (617) 325-2993 · **Fax:** (617) 325-2994
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Services Institute, Inc. (NPI 1255450631, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** June 12, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1174844260) · Data from the CMS NPPES public registry.