MOLLYROSE KELLY MA, LCPC
NPI 1386126449
Psychologist - Clinical in Skokie, IL

Q: What is Mollyrose Kelly's NPI number?

The NPI number for Mollyrose Kelly is 1386126449. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Q: What is Mollyrose Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mollyrose Kelly was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment

4711 GOLF RD STE 1200, SKOKIE, IL 60076(847) 563-0440 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2020, Sep 5, 2018 (2 updates tracked since 2018).

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About Mollyrose Kelly Ma, Lcpc NPPES

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

MOLLYROSE KELLY MA, LCPC (NPI 1386126449) is an individual clinical provider in Skokie, Illinois, licensed in Illinois (180.012855) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1386126449

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMOLLYROSE KELLYCredential: MA, LCPC

Location Address4711 GOLF RD STE 1200Skokie, IL 60076-1200

Mailing Address4711 Golf Rd Ste 1200Skokie, IL 60076-1200 · (847) 563-0440

Phone(847) 563-0440

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 5, 2018

Last NPPES UpdateMay 4, 20202 updates tracked since enumeration

NPPES CertifiedMay 4, 2020

✔ NPI 1386126449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 180.012855

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4711 GOLF RD STE 1200, Skokie, IL 60076

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Other Identifiers 2

Other180.012855IL · License

Other178.012734IL · Illinois Department Of Public Health

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

Mollyrose Kelly Ma, 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 ID7911324926

PECOS Enrollment IDI20240523001613

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY DAVID MORRILL ARNP, CAP

Nurse Practitioner (Adult Health)