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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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: July 19, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.