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DARBY KILKELLY
NPI 1194424127
Counselor - Professional in Moorhead, MN

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: October 25, 2026.

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

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
Open in Google Maps ↗

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, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Village Family Service Center
3.3 mi
Mental Health (Including Community Mental Health Center)
2701 12TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, Minnesota enrollment
  • 33 clinicians in this Medicare group
NPI 1568492353 (701) 451-4900

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.

JONI LEA MEDENWALD MSW, LSW
Social Worker (Clinical)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
CHRISTINA THORSGAARD LMFT
Marriage & Family Therapist
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
JADYN CAMPBELL LAPC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
DANIELLE KLAPPER LCAT, LPCC, ATR-BC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
KEIRAN VITEK LICSW
Social Worker (Clinical)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
COURTENAY MIEDEMA LPC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
EMILY BOCHMAN LPC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811
BRITNI KAY LANGEVIN LPCC
Counselor (Professional)
815 37TH AVE S
MOORHEAD, MN 56560
Clay County (701) 451-4811

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 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.

Where is Darby Kilkelly located?

Darby Kilkelly practices at 815 37th Ave S, Moorhead, MN 56560. The listed phone number is (701) 451-4811.

What is Darby Kilkelly's specialty?

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

Is Darby Kilkelly enrolled in Medicare?

Yes. Darby Kilkelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Darby Kilkelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darby Kilkelly reassigns Medicare benefits to Village Family Service Center (Fargo, ND). 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 Darby Kilkelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darby Kilkelly accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Darby Kilkelly 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 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.