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HEIDI LYNN KELLY
NPI 1336089366
Counselor - Professional in Kutztown, PA

Active since March 30, 2026PECOS Enrolled
94 EBLING RD, KUTZTOWN, PA 19530(484) 437-8370 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Heidi Lynn Kelly NPPES

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

HEIDI LYNN KELLY (NPI 1336089366) is an individual professional provider in Kutztown, Pennsylvania, licensed in Pennsylvania (PC017155) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336089366
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEIDI LYNN KELLY
Location Address94 EBLING RDKutztown, PA 19530-9102
Mailing Address94 Ebling RdKutztown, PA 19530-9102
Phone(484) 437-8370
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 17, 2026
✔ NPI 1336089366 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 · PC017155
94 EBLING RD, Kutztown, PA 19530
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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)

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

PECOS PAC ID1153899984
PECOS Enrollment IDI20260509000138
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 Heidi Kelly's NPI number?

The NPI number for Heidi Kelly is 1336089366. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Heidi Kelly located?

Heidi Kelly practices at 94 Ebling Rd, Kutztown, PA 19530. The listed phone number is (484) 437-8370.

What is Heidi Kelly's specialty?

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

Is Heidi Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Heidi Kelly was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.