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KELLY ANN PETTIT PSYD
NPI 1194999409
Psychologist - Clinical in Mchenry, IL

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
659 RIDGEVIEW DR, MCHENRY, IL 60050(815) 344-1999 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2023, Sep 26, 2019, Oct 19, 2018 and 3 more (6 updates tracked since 2017).

About Kelly Ann Pettit Psyd NPPES

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

KELLY ANN PETTIT PSYD (NPI 1194999409) is an individual clinical provider in Mchenry, Illinois, licensed in Iowa (117693) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1194999409
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY ANN PETTITCredential: PSYD
Location Address659 RIDGEVIEW DRMchenry, IL 60050-7012
Mailing Address755 Mcardle Dr Ste CCrystal Lake, IL 60014-1717 · (815) 338-6600
Phone(815) 344-1999
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 17, 2008
Last NPPES UpdateMay 29, 20236 updates tracked since enumeration
NPPES CertifiedMay 29, 2023
✔ NPI 1194999409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in IA · 117693✔ Licensed in IL · 071007917
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 20042375A (IN)
659 RIDGEVIEW DR, Mchenry, IL 60050
Open in Google Maps ↗

Secondary Practice Locations 4

Location 13701 Doty RdWoodstock, IL 60098-7509 · Phone (815) 338-6600 · Fax (815) 206-5376
Location 24201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 338-6600 · Fax (815) 206-5376
Location 310400 Haligus RdHuntley, IL 60142-9553 · Phone (815) 338-6600 · Fax (815) 206-5376
Location 4750 E Terra Cotta Ave Ste ACrystal Lake, IL 60014-3621 · Phone (815) 344-1999 · Fax (815) 516-5171

Other Identifiers 1

Other071007917IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Ann Pettit Psyd 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 ID5890988984
PECOS Enrollment IDI20101021000562
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
535 services83 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
176 services58 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
71 services71 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
47 services17 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUROCLINIC AND ASSESSMENTS, LLC
Psychologist (Clinical)
659 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 344-1999
DR. JOSHUA C LAVIGNE PH.D.
Clinical Neuropsychologist
659 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 344-1999
NICOLE L PERRY LCSW
Social Worker (Clinical)
659 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 344-1999
JACY LYNN HOLMES PHYD
Clinical Neuropsychologist
659 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 344-1999

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 Pettit's NPI number?

The NPI number for Kelly Pettit is 1194999409. It was assigned to this individual provider in the NPPES registry on April 17, 2008.

Where is Kelly Pettit located?

Kelly Pettit practices at 659 Ridgeview Dr, Mchenry, IL 60050. The listed phone number is (815) 344-1999.

What is Kelly Pettit's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Pettit enrolled in Medicare?

Yes. Kelly Pettit 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.

What insurance does Kelly Pettit accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Medica and Providence Health Plan list Kelly Pettit 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 Pettit was last updated on May 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.