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MR. BRENDAN NEUBECKER KELLY LMSW
NPI 1225154800
Social Worker - Clinical in Grand Rapids, MI

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
540 LEONARD ST NW STE G, GRAND RAPIDS, MI 49504(616) 458-6870(616) 458-6874 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Feb 25, 2019 (2 updates tracked since 2019).

About Mr. Brendan Neubecker Kelly Lmsw NPPES

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

MR. BRENDAN NEUBECKER KELLY LMSW (NPI 1225154800) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801087301) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1225154800
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRENDAN NEUBECKER KELLYCredential: LMSW
Location Address540 LEONARD ST NW STE GGrand Rapids, MI 49504-4260
Mailing Address540 Leonard St Nw Ste GGrand Rapids, MI 49504-4260 · (616) 458-6870 · Fax (616) 458-6874
Phone(616) 458-6870
Fax(616) 458-6874
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1225154800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801087301
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
540 LEONARD ST NW STE G, Grand Rapids, MI 49504
Open in Google Maps ↗

Other Identifiers 1

Medicaid443587MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Mr. Brendan Neubecker Kelly Lmsw 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 ID2860590114
PECOS Enrollment IDI20070611000009
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 Brendan Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Well Being LLC
Same address
Clinical
540 LEONARD ST NW STE G
Grand Rapids, MI 49504
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1225336175 (616) 458-6870

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49504 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WELL BEING LLC
Social Worker (Clinical)
540 LEONARD ST NW STE G
GRAND RAPIDS, MI 49504
Kent County (616) 458-6870
MELANIE MAYS LPC
Counselor (Professional)
540 LEONARD ST NW STE G
GRAND RAPIDS, MI 49504
Kent County (616) 458-6874
MRS. HOLLY OSBECK LMSW
Social Worker
540 LEONARD ST NW STE G
GRAND RAPIDS, MI 49504
Kent County (616) 458-6870

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 Brendan Kelly's NPI number?

The NPI number for Brendan Kelly is 1225154800. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Brendan Kelly located?

Brendan Kelly practices at 540 Leonard St NW Ste G, Grand Rapids, MI 49504. The listed phone number is (616) 458-6870.

What is Brendan Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Brendan Kelly enrolled in Medicare?

Yes. Brendan Kelly 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 Brendan Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Kelly reassigns Medicare benefits to Well Being LLC (Grand Rapids, 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 Brendan Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Kelly accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Brendan Kelly 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 Brendan Kelly was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.