Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY KATHLEEN D KELLEY RN, LPC
NPI 1235774696
Counselor - Professional in Annapolis, MD

Active since November 08, 2019PECOS EnrolledAccepts Medicare Assignment
810 BESTGATE RD STE 325, ANNAPOLIS, MD 21401(571) 344-4224 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2024, Oct 24, 2023, Jan 27, 2022 and 2 more (5 updates tracked since 2019).

  • Individual
  • Female
  • Years of Experience 12
  • Counselor
  • Professional
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MARY KELLEY

This page provides the complete NPI Profile along with additional information for Mary Kelley, a provider established in Annapolis, Maryland with a medical specialization in Counselor, focusing in professional and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1235774696 assigned on November 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 0701010214 (VA). The provider is registered as an individual and her NPI record was last updated July 2026.

NPI
1235774696 Verify this NPI
Provider Name
MARY KATHLEEN D KELLEY RN, LPC
Gender
Female
Entity Type
Individual
Location Address
810 BESTGATE RD STE 325 ANNAPOLIS, MD 21401
Location Phone
(571) 344-4224
Mailing Address
810 BESTGATE RD STE 325 ANNAPOLIS, MD 21401
Mailing Phone
(703) 831-8300
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
11-08-2019
Last Update Date
07-02-2026
Code Navigator

Location Map

Secondary Locations

  • 1360 Beverly Rd Ste 200
    Mc Lean, VA 22101
    (703) 831-8300

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
0701010214
License State
VA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

0701010214 (VA)
2101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

LC13328 (MD)
3163W00000XNursing Service Providers

Registered Nurse

0001152431 (VA)

Medicare Participation & PECOS Enrollment Status

Mary Kelley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mary Kelley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224489034

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240215003752

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MARY KATHLEEN D KELLEY RN, LPC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychologist (Clinical)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Counselor (Professional)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Psychologist
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Psychologist
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Social Worker (Clinical)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Counselor (Professional)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Nurse Practitioner (Psychiatric/Mental Health)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Counselor (Professional)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Social Worker (Clinical)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401
Nurse Practitioner (Psychiatric/Mental Health)
810 BESTGATE RD STE 325
ANNAPOLIS, MD 21401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235774696, enumerated as an "individual" on November 08, 2019.

The provider is located at 810 BESTGATE RD STE 325 ANNAPOLIS, MD 21401 and the phone number is (571) 344-4224.

Counselor with taxonomy code 101YP2500X and a focus in Professional.