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BRANDEE KELLY
NPI 1457964868
Counselor - Mental Health in Willoughby, OH

Active since August 25, 2020PECOS Enrolled
38882 MENTOR AVE, WILLOUGHBY, OH 44094(440) 578-8200 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brandee Kelly NPPES

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

BRANDEE KELLY (NPI 1457964868) is an individual mental health provider in Willoughby, Ohio, licensed in Ohio (C.2002654) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457964868
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRANDEE KELLY
Location Address38882 MENTOR AVEWilloughby, OH 44094-7875
Mailing Address38882 Mentor AveWilloughby, OH 44094-7875
Phone(440) 578-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 25, 2020
NPPES CertifiedAugust 25, 2020
✔ NPI 1457964868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.2002654
38882 MENTOR AVE, Willoughby, OH 44094
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandee Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264917053
PECOS Enrollment IDI20260330003001
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandee Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
Same address
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

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.

KRYSTI CAMPLESE
Case Manager/Care Coordinator
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
REGINA QUIGLEY
Case Manager/Care Coordinator
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
TATIANA DWYER
Counselor
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
JAMIEE K IMBROGNO
Social Worker (Clinical)
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (404) 953-9999
ELIZABETH KALLAY
Case Management
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 578-8200
SARAH WILLIAMS
Social Worker
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 578-8200
DELISHIA D PORTER-WASHINGTON
Technician, Health Information (Assistant Record Technician)
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
OCTAVEYA LOWE
Community Health Worker
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999

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 Brandee Kelly's NPI number?

The NPI number for Brandee Kelly is 1457964868. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Brandee Kelly located?

Brandee Kelly practices at 38882 Mentor Ave, Willoughby, OH 44094. The listed phone number is (440) 578-8200.

What is Brandee Kelly's specialty?

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

Is Brandee Kelly enrolled in Medicare?

Yes. Brandee Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandee Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandee Kelly reassigns Medicare benefits to Signature Health, Inc (Willoughby, OH). 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 Brandee Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandee Kelly accept?

Health plans from CareSource list Brandee 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 Brandee Kelly was last updated on August 25, 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.