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KACEY KELLY
NPI 1285501833
Counselor - Professional in Philadelphia, PA

Active since October 20, 2025PECOS Enrolled
39 N 3RD ST UNIT 2, PHILADELPHIA, PA 19106(609) 658-5849 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kacey Kelly NPPES

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

KACEY KELLY (NPI 1285501833) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC019469) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285501833
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKACEY KELLY
Location Address39 N 3RD ST UNIT 2Philadelphia, PA 19106-4508
Mailing Address39 N 3rd St Unit 2Philadelphia, PA 19106-4508
Phone(609) 658-5849
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1285501833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC019469
39 N 3RD ST UNIT 2, Philadelphia, PA 19106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kacey Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466929427
PECOS Enrollment IDI20260427002985
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.

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 Kacey Kelly's NPI number?

The NPI number for Kacey Kelly is 1285501833. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Kacey Kelly located?

Kacey Kelly practices at 39 N 3rd St Unit 2, Philadelphia, PA 19106. The listed phone number is (609) 658-5849.

What is Kacey Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kacey Kelly enrolled in Medicare?

Yes. Kacey Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kacey Kelly was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.