MANDY A KELLY MA, LPC
NPI 1386311140
Counselor - Professional in Springfield, MO

Q: 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.

Q: What is Mandy Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Kelly was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2021PECOS EnrolledAccepts Medicare Assignment

1300 E BRADFORD PKWY BLDG B, SPRINGFIELD, MO 65804(417) 761-5000 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2024, Aug 23, 2023, Nov 30, 2021 and 2 more (5 updates tracked since 2021).

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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

NPI1386311140

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMANDY A KELLYCredential: MA, LPC

Location Address1300 E BRADFORD PKWY BLDG BSpringfield, MO 65804-4264

Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5000 · Fax (417) 761-5011

Phone(417) 761-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 27, 2021

Last NPPES UpdateAugust 28, 20255 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1386311140 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 MO · 2021047412

1300 E BRADFORD PKWY BLDG B, Springfield, MO 65804

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Other Names 1

Former Name (1)Mandy A Winningham

Secondary Practice Location 1

Location 11300 E Bradford Pkwy Bldg ASpringfield, MO 65804-4264 · Phone (417) 761-5000 · Fax (417) 761-5011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, Medica, Oscar Insurance Company and more.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

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.

PECOS PAC ID8921444233

PECOS Enrollment IDI20240308002601

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.

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.

ROSEMARY RUBENSTEIN PSYD, LP

Psychologist (Clinical)