MRS. KELLY A KIEDERER LCPC
NPI 1184740185
Counselor - Professional in Bel Air, MD

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
900 S MAIN ST BLDG A, SUITE 105, BEL AIR, MD 21014(410) 914-4012 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 25, 2025, Dec 13, 2024, Jul 12, 2016 (3 updates tracked since 2016).

About Mrs. Kelly A Kiederer Lcpc NPPES

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

MRS. KELLY A KIEDERER LCPC (NPI 1184740185) is an individual professional provider in Bel Air, Maryland, licensed in Maryland (LC2184) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184740185
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLY A KIEDERERCredential: LCPC
Location Address900 S MAIN ST BLDG A, SUITE 105Bel Air, MD 21014-5447
Mailing Address26 Poplar Springs BlvdStewartstown, PA 17363-4105 · (443) 928-0631
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 21, 2007
Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1184740185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC2184
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
900 S MAIN ST BLDG A, Bel Air, MD 21014

Other Names 1

Professional Name (2)Mrs. Kelly Kiederer Lcpc

Other Identifiers 5

OtherM3280013MD · Bcbs Natl Capital Region
OtherQC40COMD · Carefirst Bcbs Md
OtherAETNAMD · 7265936
Other600007820MD · Magellan Bh
Other88750701MD · Carefirst Rendering

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

Mrs. Kelly A Kiederer Lcpc 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 ID1153859400
PECOS Enrollment IDI20250318002085
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Kiederer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
900 S MAIN ST BLDG A, SUITE 105
Bel Air, MD 21014
  • Reassigned Medicare billing, Maryland enrollment
  • 10 clinicians in this Medicare group
Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, District of Columbia enrollment
  • 38 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.

Counselor (Mental Health)
900 S MAIN ST BLDG A, SUITE 105
BEL AIR, MD 21014
Counselor (Professional)
900 S MAIN ST BLDG A, SUITE 105
BEL AIR, MD 21014
Counselor (Professional)
900 S MAIN ST BLDG A, SUITE 105
BEL AIR, MD 21014

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 Kiederer's NPI number?

The NPI number for Kelly Kiederer is 1184740185. It was assigned to this individual provider in the NPPES registry on March 21, 2007. The provider is also known as Mrs. Kelly Kiederer Lcpc.

Where is Kelly Kiederer located?

Kelly Kiederer practices at 900 S Main St Bldg A Suite 105, Bel Air, MD 21014. The listed phone number is (410) 914-4012.

What is Kelly Kiederer's specialty?

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

Is Kelly Kiederer enrolled in Medicare?

Yes. Kelly Kiederer 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 organizations bill Medicare for Kelly Kiederer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kiederer reassigns Medicare benefits to 2 organizations: Whitesell And Associates, Inc (Bel Air, MD) and Sailor Health Medical PA (Coral Gables, FL). Each 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 Kelly Kiederer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kiederer accept?

Health plans from Blue Cross and Blue Shield of Texas list Kelly Kiederer 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 Kelly Kiederer was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.