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KELCY S SHORT LCPC
NPI 1346488319
Counselor - Professional in Springfield, IL

Active since January 29, 2009PECOS EnrolledAccepts Medicare Assignment
3225 HEDLEY RD, SPRINGFIELD, IL 62711(217) 788-4065(217) 788-4147 Get Directions Write a Review

NPPES record last updated: August 15, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelcy S Short Lcpc NPPES

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

KELCY S SHORT LCPC (NPI 1346488319) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180007089) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1346488319
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELCY S SHORTCredential: LCPC
Location Address3225 HEDLEY RDSpringfield, IL 62711-6248
Mailing Address710 N 8th StSpringfield, IL 62702-6324 · (217) 525-1064 · Fax (217) 525-1651
Phone(217) 788-4065
Fax(217) 788-4147
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 29, 2009
Last NPPES UpdateAugust 15, 2012
✔ NPI 1346488319 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 IL · 180007089
3225 HEDLEY RD, Springfield, IL 62711
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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

Kelcy S Short Lcpc 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 ID4385096437
PECOS Enrollment IDI20240115000596
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 Kelcy Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Centers Of Central Illinois
4.6 mi
Clinical
901 N 1ST ST, SUITE 225
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1225008113 (Illinois)
  • 23 clinicians in this Medicare group
NPI 1750614798 (217) 788-4065

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.

MRS. DEBORAH LOUISE TAYLOR ACSW, LCSW, DCSW
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-6700
MELISSA S ADAMS APN
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300
DR. PHILIP BRIAN SCHOENROCK MD
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300
MARK H STAFF LCSW
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300
DENISE KLEMM LCSW
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300
VINE STREET CLINICAL ASSOCIATES, LLC
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300
CARRIE MCCORMICK APN
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300
AMANDA M MAVIS FNP
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Sangamon County (217) 726-7300

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 Kelcy Short's NPI number?

The NPI number for Kelcy Short is 1346488319. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Kelcy Short located?

Kelcy Short practices at 3225 Hedley Rd, Springfield, IL 62711. The listed phone number is (217) 788-4065.

What is Kelcy Short's specialty?

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

Is Kelcy Short enrolled in Medicare?

Yes. Kelcy Short 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 Kelcy Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelcy Short reassigns Medicare benefits to Mental Health Centers Of Central Illinois (Springfield, IL). 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 Kelcy Short'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 Kelcy Short was last updated on August 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.