KYLE KELLERMEYER LGPC
NPI 1487267837
Counselor - Mental Health in Catonsville, MD

Active since August 26, 2020PECOS EnrolledAccepts Medicare Assignment
9 NEWBURG AVE STE 200, CATONSVILLE, MD 21228(410) 705-0664 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyle Kellermeyer Lgpc NPPES

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

KYLE KELLERMEYER LGPC (NPI 1487267837) is an individual mental health provider in Catonsville, Maryland, licensed in Maryland (10381) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487267837
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE KELLERMEYERCredential: LGPC
Location Address9 NEWBURG AVE STE 200Catonsville, MD 21228-5169
Mailing Address1304 Ashburton CtMillersville, MD 21108-1900 · (443) 883-1309
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1487267837 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 MD · 10381
9 NEWBURG AVE STE 200, Catonsville, MD 21228

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

Kyle Kellermeyer Lgpc 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 ID8022598580
PECOS Enrollment IDI20260214000263
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 Kyle Kellermeyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
5720 EXECUTIVE DR STE 100-105
Baltimore, MD 21228
  • Reassigned Medicare billing, Maryland enrollment
  • 122 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 4

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

Counselor (Mental Health)
9 NEWBURG AVE STE 200
CATONSVILLE, MD 21228
Counselor
9 NEWBURG AVE STE 200
CATONSVILLE, MD 21228
Counselor (Mental Health)
9 NEWBURG AVE STE 200
CATONSVILLE, MD 21228
Counselor (Mental Health)
9 NEWBURG AVE STE 200
CATONSVILLE, MD 21228

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 Kyle Kellermeyer's NPI number?

The NPI number for Kyle Kellermeyer is 1487267837. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Kyle Kellermeyer located?

Kyle Kellermeyer practices at 9 Newburg Ave Ste 200, Catonsville, MD 21228. The listed phone number is (410) 705-0664.

What is Kyle Kellermeyer's specialty?

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

Is Kyle Kellermeyer enrolled in Medicare?

Yes. Kyle Kellermeyer 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 Kyle Kellermeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kellermeyer reassigns Medicare benefits to Thrive Behavioral Health, LLC (Baltimore, MD). 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 Kyle Kellermeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Kellermeyer accept?

Health plans from Oscar Health list Kyle Kellermeyer 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 Kyle Kellermeyer was last updated on August 26, 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.