HOLISTIC HEALTH WITH KELLY LLC
NPI 1245806041
Counselor - Mental Health in Meridian, MS

Active since June 02, 2021
6259 PINEDALE RD, MERIDIAN, MS 39305(601) 616-3752 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holistic Health With Kelly Llc NPPES

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

HOLISTIC HEALTH WITH KELLY LLC (NPI 1245806041) is a healthcare organization registered as a mental health in Meridian, Mississippi and active in the NPI registry since June 2021. The organization lists Kelly Harper Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1245806041
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameHOLISTIC HEALTH WITH KELLY LLC
Location Address6259 PINEDALE RDMeridian, MS 39305-3430
Mailing Address6259 Pinedale RdMeridian, MS 39305-3430 · (601) 616-3752
Organization SubpartNo
Authorized OfficialKelly Harper SmithOwner · (601) 616-3752
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1245806041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6259 PINEDALE RD, Meridian, MS 39305

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holistic Health With Kelly Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Holistic Health With Kelly LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1659971380
4555 35TH AVE
Meridian, MS 39305
(601) 207-2017
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1356995682
1415 COLLEGE DR
Meridian, MS 39307
(601) 483-4821
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1841824232
2011 23RD AVE
Meridian, MS 39301
(601) 286-5983
✔ PECOS✔ Accepts Medicare4.1 mi
Psychiatry
NPI 1245249184
1205 22ND AVE
Meridian, MS 39301
(601) 453-5734
✔ PECOS✔ Accepts Medicare4.7 mi
Clinical Social Worker
NPI 1407346380
2208 HIGHWAY 39 N
Meridian, MS 39301
(601) 482-2400
✔ PECOS✔ Accepts Medicare4.8 mi
Nurse Practitioner
NPI 1174909865
4973 C A PICKARD RD
Meridian, MS 39301
(601) 938-7136
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1174318075
1054 HIGHWAY 19 S
Meridian, MS 39301
(601) 531-3200
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1407493596
9097 COLLINSVILLE RD
Collinsville, MS 39325
(601) 626-8874
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1679710933
9421 EASTSIDE DRIVE EXT
Newton, MS 39330
(601) 683-2031
✔ PECOS✔ Accepts Medicare20 mi

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

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 Holistic Health With Kelly LLC's NPI number?

The NPI number for Holistic Health With Kelly LLC is 1245806041. It was assigned to this organization in the NPPES registry on June 2, 2021.

Where is Holistic Health With Kelly LLC located?

Holistic Health With Kelly LLC is located at 6259 Pinedale Rd, Meridian, MS 39305. The listed phone number is (601) 616-3752.

What is Holistic Health With Kelly LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Holistic Health With Kelly LLC enrolled in Medicare?

Yes. Holistic Health With Kelly LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Health With Kelly LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Holistic Health With Kelly LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (1) and Psychiatry (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Holistic Health With Kelly LLC was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.