MANDY A KELLY MA, LPC
NPI 1386311140
Counselor - Professional in Springfield, MO
About Mandy A Kelly Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY A KELLY MA, LPC (NPI 1386311140) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2021047412) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mandy A Kelly Ma, Lpc 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 Mandy Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65804
- Reassigned Medicare billing, Missouri enrollment
- 590 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.
SPRINGFIELD, MO 65804
SPRINGFIELD, MO 65804
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 Mandy Kelly's NPI number?
The NPI number for Mandy Kelly is 1386311140. It was assigned to this individual provider in the NPPES registry on August 27, 2021. The provider is also known as Mandy A Winningham.
Where is Mandy Kelly located?
Mandy Kelly practices at 1300 E Bradford Pkwy Bldg B, Springfield, MO 65804. The listed phone number is (417) 761-5000.
What is Mandy Kelly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mandy Kelly enrolled in Medicare?
Yes. Mandy Kelly 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 Mandy Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Kelly reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). 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 Mandy Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandy Kelly accept?
Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica, Oscar Insurance Company and UnitedHealthcare list Mandy Kelly 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 Mandy Kelly was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mandy A Kelly, MA, LPC · NPI 1386311140
Professional provider in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since August 27, 2021.
## Identity
- **NPI:** 1386311140 (Entity type: Individual)
- **Enumerated:** August 27, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2021047412 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 E BRADFORD PKWY BLDG B, Springfield, MO 65804-4264
- **Phone:** (417) 761-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Burrell, Inc. (NPI 1275541740, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 28, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1386311140) · Data from the CMS NPPES public registry.