DR. KATINA KELLY PSYD
NPI 1306041595
Psychologist in Jonesville, VA

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
1010 CEDAR HILL CHURCH RD, JONESVILLE, VA 24263(507) 226-5759 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Katina Kelly Psyd NPPES

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

DR. KATINA KELLY PSYD (NPI 1306041595) is an individual psychologist in Jonesville, Virginia, licensed in Virginia (0810007806) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Grange, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306041595
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATINA KELLYCredential: PSYD
Location Address1010 CEDAR HILL CHURCH RDJonesville, VA 24263-7219
Mailing Address1010 Cedar Hill Church RdJonesville, VA 24263-7219 · (507) 226-5759
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 18, 2007
Last NPPES UpdateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1306041595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in VA · 0810007806
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselorTaxonomy 101Y00000X
1010 CEDAR HILL CHURCH RD, Jonesville, VA 24263

Secondary Practice Location 1

Location 1230 Yager Ave, STE. 5LA Grange, KY 40031-1060 · Phone (502) 589-1100 · Fax (502) 589-8771

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

Dr. Katina Kelly Psyd 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.

PECOS PAC ID8426445263
PECOS Enrollment IDI20220426003144
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.

Medicare Billing Reassignment

Medicare enrollment records show Katina Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
7272 WURZBACH RD, SUITE 601
San Antonio, TX 78240
  • Reassigned Medicare billing, Virginia enrollment
  • 29 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
501 services44 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
208 services17 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

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 Katina Kelly's NPI number?

The NPI number for Katina Kelly is 1306041595. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Katina Kelly located?

Katina Kelly practices at 1010 Cedar Hill Church Rd, Jonesville, VA 24263. The listed phone number is (507) 226-5759.

What is Katina Kelly's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Katina Kelly enrolled in Medicare?

Yes. Katina Kelly 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 organization bills Medicare for Katina Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katina Kelly reassigns Medicare benefits to Deer Oaks Southeast LLC (San Antonio, TX). The 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 Katina Kelly'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 Katina Kelly was last updated on April 20, 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.