CASSY KELLY, LLC
NPI 1285369371
Clinic/Center - Mental Health (Including Community Mental Health Center) in Overland Park, KS
About Cassy Kelly, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSY KELLY, LLC (NPI 1285369371) is a healthcare organization registered as a mental health (including community mental health center) in Overland Park, Kansas and active in the NPI registry since July 2022. The organization lists Stacey M Deister, Credentialer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cassy Kelly, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cassy Kelly, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Cassy Kelly, LLC's NPI number?
The NPI number for Cassy Kelly, LLC is 1285369371. It was assigned to this organization in the NPPES registry on July 21, 2022.
Where is Cassy Kelly, LLC located?
Cassy Kelly, LLC is located at 7221 W 79th St Ste 105, Overland Park, KS 66204. The listed phone number is (913) 444-0083.
What is Cassy Kelly, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Cassy Kelly, LLC enrolled in Medicare?
Yes. Cassy Kelly, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cassy Kelly, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Cassy 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cassy Kelly, LLC was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Cassy Kelly, Llc · NPI 1285369371
Mental Health (Including Community Mental Health Center) organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since July 21, 2022.
## Identity
- **NPI:** 1285369371 (Entity type: Organization)
- **Enumerated:** July 21, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Stacey Deister, CREDENTIALER
## Practice location
- **Address:** 7221 W 79TH ST STE 105, Overland Park, KS 66204-2906
- **Phone:** (913) 444-0083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2022
- **Other identifiers:** Medicaid 30004819650001 (KS)
---
Source: [NPI Profile](https://npiprofile.com/npi/1285369371) · Data from the CMS NPPES public registry.