ANDREA KELLIM LPC
NPI 1326320912
Counselor - Professional in Paragould, AR

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment
1707 LINWOOD DR STE B, PARAGOULD, AR 72450(870) 604-4455(888) 977-2956 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, Jul 30, 2020 (2 updates tracked since 2020).

About Andrea Kellim Lpc NPPES

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

ANDREA KELLIM LPC (NPI 1326320912) is an individual professional provider in Paragould, Arkansas, licensed in Arkansas (P0610058) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Paragould, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1326320912
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDREA KELLIMCredential: LPC
Location Address1707 LINWOOD DR STE BParagould, AR 72450-5365
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (870) 972-1268 · Fax (870) 934-0847
Fax(888) 977-2956
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 9, 2011
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1326320912 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 AR · P0610058
1707 LINWOOD DR STE B, Paragould, AR 72450

Secondary Practice Location 1

Location 11707 Linwood Dr Ste BParagould, AR 72450-5365 · Phone (870) 558-6629 · Fax (888) 977-2956

Accepted Insurance

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

Andrea Kellim Lpc 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 ID4284086075
PECOS Enrollment IDI20240117002326
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 Andrea Kellim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1707 LINWOOD DR STE B
Paragould, AR 72450
  • Reassigned Medicare billing, Arkansas enrollment
  • 52 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.

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.

Case Manager/Care Coordinator
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Counselor (Professional)
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Clinic/Center (Mental Health (Including Community Mental Health Center))
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Counselor (Mental Health)
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Counselor (Professional)
1707 LINWOOD DR STE B
PARAGOULD, AR 72450
Case Manager/Care Coordinator
1707 LINWOOD DR STE B
PARAGOULD, AR 72450

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 Andrea Kellim's NPI number?

The NPI number for Andrea Kellim is 1326320912. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Andrea Kellim located?

Andrea Kellim practices at 1707 Linwood Dr Ste B, Paragould, AR 72450. The listed phone number is (870) 604-4455.

What is Andrea Kellim's specialty?

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

Is Andrea Kellim enrolled in Medicare?

Yes. Andrea Kellim 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 Andrea Kellim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Kellim reassigns Medicare benefits to Nextstep Counseling Services, LLC (Paragould, AR). 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 Andrea Kellim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Kellim accept?

Health plans from Health Advantage and Octave list Andrea Kellim 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 Andrea Kellim was last updated on July 15, 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.