MRS. KELLEY ANN WATSON MA LLPC
NPI 1184863920
Counselor - Professional in Troy, MI

Active since February 18, 2009PECOS EnrolledAccepts Medicare Assignment
2075 W BIG BEAVER RD, SUITE 520, TROY, MI 48084(248) 646-6659 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kelley Ann Watson Ma Llpc NPPES

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

MRS. KELLEY ANN WATSON MA LLPC (NPI 1184863920) is an individual professional provider in Troy, Michigan, licensed in Michigan (6401010926) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184863920
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLEY ANN WATSONCredential: MA LLPC
Location Address2075 W BIG BEAVER RD, SUITE 520Troy, MI 48084-3407
Mailing Address2075 W Big Beaver Rd, Suite 520Troy, MI 48084-3407 · (248) 646-6659
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 18, 2009
✔ NPI 1184863920 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 MI · 6401010926
2075 W BIG BEAVER RD, Troy, MI 48084

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. Kelley Ann Watson Ma Llpc 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 ID7113366451
PECOS Enrollment IDI20240418003099
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 Reassignment

Medicare enrollment records show Kelley Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counselor
2075 W BIG BEAVER RD, SUITE 520
Troy, MI 48084
  • Reassigned Medicare billing, Michigan enrollment
  • 18 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.

Marriage & Family Therapist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Marriage & Family Therapist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Psychologist
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Social Worker (Clinical)
2075 W BIG BEAVER RD
TROY, MI 48084
Specialist/Technologist (Athletic Trainer)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Psychologist (Clinical)
2075 W BIG BEAVER RD, SUITE 520
TROY, MI 48084
Physical Therapist
2075 W BIG BEAVER RD
TROY, MI 48084
Social Worker (Clinical)
2075 W BIG BEAVER RD
TROY, MI 48084

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 Watson's NPI number?

The NPI number for Kelley Watson is 1184863920. It was assigned to this individual provider in the NPPES registry on February 18, 2009.

Where is Kelley Watson located?

Kelley Watson practices at 2075 W Big Beaver Rd Suite 520, Troy, MI 48084. The listed phone number is (248) 646-6659.

What is Kelley Watson's specialty?

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

Is Kelley Watson enrolled in Medicare?

Yes. Kelley 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 Kelley Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Watson reassigns Medicare benefits to Birmingham Maple Clinic (Troy, MI). 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 Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Watson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kelley Watson 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 Watson was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.