MARY KATHLEEN D KELLEY RN, LPC
NPI 1235774696
Counselor - Professional in Annapolis, MD
About Mary Kathleen D Kelley Rn, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY KATHLEEN D KELLEY RN, LPC (NPI 1235774696) is an individual professional provider in Annapolis, Maryland, licensed in Virginia (0701010214) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Lean, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Mary Kathleen D Kelley Rn, Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arnold, MD 21012
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Arundel Mental Health Professionals Lc
- 124 clinicians in this Medicare group
Mechanicsville, VA 23116
- Reassigned Medicare billing, District of Columbia enrollment
- 65 clinicians in this Medicare group
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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANNAPOLIS, MD 21401
ANNAPOLIS, MD 21401
ANNAPOLIS, MD 21401
ANNAPOLIS, MD 21401
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 Mary Kelley's NPI number?
The NPI number for Mary Kelley is 1235774696. It was assigned to this individual provider in the NPPES registry on November 8, 2019.
Where is Mary Kelley located?
Mary Kelley practices at 810 Bestgate Rd Ste 325, Annapolis, MD 21401. The listed phone number is (571) 344-4224.
What is Mary Kelley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Kelley enrolled in Medicare?
Yes. Mary Kelley 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 organizations bill Medicare for Mary Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kelley reassigns Medicare benefits to 2 organizations: Arundel Mental Health Professionals L.C. (Arnold, MD) and Commonwealth Counseling Associates Inc (Mechanicsville, VA). Each 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 Mary Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Kelley was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mary Kathleen D Kelley, RN, LPC · NPI 1235774696
Professional provider in Annapolis, Maryland. Individual provider, active in the CMS NPPES registry since November 8, 2019.
## Identity
- **NPI:** 1235774696 (Entity type: Individual)
- **Enumerated:** November 8, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701010214 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 810 BESTGATE RD STE 325, Annapolis, MD 21401-3648
- **Phone:** (571) 344-4224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arundel Mental Health Professionals L.C. (NPI 1073649521, Arnold, MD); Commonwealth Counseling Associates Inc (NPI 1851345805, Mechanicsville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235774696) · Data from the CMS NPPES public registry.