MS. KELLI LEE MISTRY MA LLPC
NPI 1376136986
Counselor - Mental Health in Monroe, MI

Active since February 15, 2021PECOS EnrolledAccepts Medicare Assignment
204 S MACOMB ST STE 7, MONROE, MI 48161(734) 265-6749 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2022, Mar 31, 2021, Feb 15, 2021 (3 updates tracked since 2021).

About Ms. Kelli Lee Mistry Ma Llpc NPPES

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

MS. KELLI LEE MISTRY MA LLPC (NPI 1376136986) is an individual mental health provider in Monroe, Michigan, licensed in Michigan (6451019064) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376136986
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KELLI LEE MISTRYCredential: MA LLPC
Location Address204 S MACOMB ST STE 7Monroe, MI 48161-2121
Mailing Address435 Lavender StMonroe, MI 48162-2818 · (734) 261-6749
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 15, 2021
Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
NPI 1376136986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MI · 6451019064 Licensed in MI · 6401019064
204 S MACOMB ST STE 7, Monroe, MI 48161

Accepted Insurance

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

Ms. Kelli Lee Mistry Ma Llpc 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 ID42627382
PECOS Enrollment IDI20240111003400
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 Kelli Mistry's NPI number?

The NPI number for Kelli Mistry is 1376136986. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Kelli Mistry located?

Kelli Mistry practices at 204 S Macomb St Ste 7, Monroe, MI 48161. The listed phone number is (734) 265-6749.

What is Kelli Mistry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelli Mistry enrolled in Medicare?

Yes. Kelli Mistry 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.

What insurance does Kelli Mistry accept?

Health plans from McLaren Health Plan Community and UnitedHealthcare list Kelli Mistry 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 Mistry was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.