DARBY KILKELLY
NPI 1194424127
Counselor - Professional in Moorhead, MN

Q: What is Darby Kilkelly's NPI number?

The NPI number for Darby Kilkelly is 1194424127. It was assigned to this individual provider in the NPPES registry on February 28, 2023.

Q: What is Darby Kilkelly'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 Darby Kilkelly was last updated on April 7, 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.

Active since February 28, 2023PECOS Enrolled

815 37TH AVE S, MOORHEAD, MN 56560(701) 451-4811(651) 925-0057 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2024, Feb 28, 2023 (2 updates tracked since 2023).

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About Darby Kilkelly NPPES

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

DARBY KILKELLY (NPI 1194424127) is an individual professional provider in Moorhead, Minnesota, licensed in Minnesota (2962) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Plymouth, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194424127

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDARBY KILKELLY

Location Address815 37TH AVE SMoorhead, MN 56560-5524

Mailing Address2701 12th Ave SFargo, ND 58103-8753 · (701) 451-4900 · Fax (651) 925-0057

Phone(701) 451-4811

Fax(651) 925-0057

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 28, 2023

Last NPPES UpdateApril 7, 20242 updates tracked since enumeration

NPPES CertifiedApril 7, 2024

✔ NPI 1194424127 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 MN · 2962

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

815 37TH AVE S, Moorhead, MN 56560

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Secondary Practice Location 1

Location 115710 Rockford Rd Apt 119Plymouth, MN 55446-4213 · Phone (651) 472-6393

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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)

Darby Kilkelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850882960

PECOS Enrollment IDI20251117003657

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.

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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.

JONI LEA MEDENWALD MSW, LSW

Social Worker (Clinical)