KELLI ANN CARLSON NCC, TLMHC
NPI 1336870914
Counselor - Mental Health in Coralville, IA
About Kelli Ann Carlson Ncc, Tlmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI ANN CARLSON NCC, TLMHC (NPI 1336870914) is an individual mental health provider in Coralville, Iowa, licensed in Iowa (120838) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Davenport, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kelli Ann Carlson Ncc, Tlmhc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelli Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coralville, IA 52241
- Reassigned Medicare billing, Iowa enrollment
- 37 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.
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 Kelli Carlson's NPI number?
The NPI number for Kelli Carlson is 1336870914. It was assigned to this individual provider in the NPPES registry on June 23, 2022.
Where is Kelli Carlson located?
Kelli Carlson practices at 2240 9th St, Coralville, IA 52241. The listed phone number is (319) 800-5564.
What is Kelli Carlson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelli Carlson enrolled in Medicare?
Yes. Kelli Carlson 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 Kelli Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Carlson reassigns Medicare benefits to Green Counseling Services PLLC (Coralville, IA). 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 Kelli Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Carlson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Kelli Carlson 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 Kelli Carlson was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kelli Ann Carlson, NCC, TLMHC · NPI 1336870914
Mental Health provider in Coralville, Iowa. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1336870914 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 120838 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2240 9TH ST, Coralville, IA 52241-1575
- **Phone:** (319) 800-5564
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Green Counseling Services PLLC (NPI 1528564762, Coralville, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336870914) · Data from the CMS NPPES public registry.