KELLY MARIE SHOWALTER MA, LPCC
NPI 1467277723
Counselor - Professional in Golden Valley, MN

Active since November 20, 2024PECOS Enrolled
8441 WAYZATA BLVD STE 140, GOLDEN VALLEY, MN 55426(651) 769-6300(651) 759-6349 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Marie Showalter Ma, Lpcc NPPES

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

KELLY MARIE SHOWALTER MA, LPCC (NPI 1467277723) is an individual professional provider in Golden Valley, Minnesota, licensed in Minnesota (4444) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467277723
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY MARIE SHOWALTERCredential: MA, LPCC
Location Address8441 WAYZATA BLVD STE 140Golden Valley, MN 55426-1366
Mailing Address2497 7th Ave E Ste 108North St Paul, MN 55109-2949 · (651) 769-6437 · Fax (651) 769-6599
Fax(651) 759-6349
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1467277723 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 MN · 4444
8441 WAYZATA BLVD STE 140, Golden Valley, MN 55426

Other Names 1

Former Name (1)Kelly Marie Reynolds

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Showalter Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082189337
PECOS Enrollment IDI20260406000605
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 Kelly Showalter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2497 7TH AVE E, SUITE 101
North Saint Paul, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 42 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

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

Nurse Practitioner (Psychiatric/Mental Health)
8441 WAYZATA BLVD STE 140
GOLDEN VALLEY, MN 55426

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 Kelly Showalter's NPI number?

The NPI number for Kelly Showalter is 1467277723. It was assigned to this individual provider in the NPPES registry on November 20, 2024. The provider is also known as Kelly Marie Reynolds.

Where is Kelly Showalter located?

Kelly Showalter practices at 8441 Wayzata Blvd Ste 140, Golden Valley, MN 55426. The listed phone number is (651) 769-6300.

What is Kelly Showalter's specialty?

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

Is Kelly Showalter enrolled in Medicare?

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

Which organization bills Medicare for Kelly Showalter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Showalter reassigns Medicare benefits to Bhsi, LLC (North Saint Paul, MN). 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 Kelly Showalter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Showalter accept?

Health plans from HealthPartners list Kelly Showalter 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 Kelly Showalter was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.