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REBECCA KELLEY
NPI 1316568819
Psychologist - Clinical Child & Adolescent in Boise, ID

Active since May 06, 2020PECOS Enrolled
305 E JEFFERSON ST, BOISE, ID 83712(208) 381-5000(208) 381-5005 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2026, Jul 15, 2026, Aug 25, 2023 and 1 more (4 updates tracked since 2020).

About Rebecca Kelley NPPES

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

REBECCA KELLEY (NPI 1316568819) is an individual clinical child & adolescent provider in Boise, Idaho, licensed in Idaho (PSY-203727) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316568819
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameREBECCA KELLEY
Location Address305 E JEFFERSON STBoise, ID 83712-6231
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-5000
Fax(208) 381-5005
Sole ProprietorNo
Enumeration DateMay 6, 2020
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1316568819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in ID · PSY-203727
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
305 E JEFFERSON ST, Boise, ID 83712
Open in Google Maps ↗

Other Names 1

Former Name (1)Rebecca Bridges

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Rebecca Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
Same address
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILEY LIZABETH COLLETTE MS
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
ARIANA LAWRENCE MS, RD, LD
Dietitian, Registered
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
NATALIE PARRISH LCSW
Social Worker (Clinical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7340
DR. PAUL CHRISTIAN NEVILLE O.D.
Optometrist
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-6910
LINDSEY RAE WENDEL CPNP-PC
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7011
JASON JOHN OVEROCKER PA-C
Physician Assistant (Surgical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7370
KODY MICHAEL DUCLOS RD, LD
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
KELSEY EILEEN MOE PCP-NP
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 706-5437

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 Rebecca Kelley's NPI number?

The NPI number for Rebecca Kelley is 1316568819. It was assigned to this individual provider in the NPPES registry on May 6, 2020. The provider is also known as Rebecca Bridges.

Where is Rebecca Kelley located?

Rebecca Kelley practices at 305 E Jefferson St, Boise, ID 83712. The listed phone number is (208) 381-5000.

What is Rebecca Kelley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Rebecca Kelley enrolled in Medicare?

Yes. Rebecca Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Kelley reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Rebecca Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Kelley accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Rebecca Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Kelley was last updated on August 3, 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.