DR. JENNIFER D. KELLY PSY.D.
NPI 1548609712
Psychologist - Clinical in Seattle, WA

Q: What is Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1548609712. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Q: What is Jennifer Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kelly was last updated on July 21, 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.

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment

1100 9TH AVE, SEATTLE, WA 98101(206) 372-8568 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jennifer D. Kelly Psy.d. NPPES

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

DR. JENNIFER D. KELLY PSY.D. (NPI 1548609712) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY60332196) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548609712

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JENNIFER D. KELLYCredential: PSY.D.

Location Address1100 9TH AVESeattle, WA 98101-2756

Mailing Address1100 9th AveSeattle, WA 98101-2756

Phone(206) 372-8568

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 20, 2013

Last NPPES UpdateJuly 21, 2020

NPPES CertifiedJuly 21, 2020

✔ NPI 1548609712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY60332196

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1100 9TH AVE, Seattle, WA 98101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.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

Dr. Jennifer D. Kelly Psy.d. 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 ID7113161100

PECOS Enrollment IDI20130912000515

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health in group setting, each additional 30 minutes 96165

This treatment involves group sessions aimed at addressing behaviors impacting health. Each additional half-hour allows for deeper exploration of these behaviors and learning new strategies for change. It's a supportive environment for shared learning and growth.

302 services49 patients

Treatment of behavior impacting health in group setting, initial 30 minutes 96164

This is a group therapy session focusing on behaviors that affect health. In the initial 30 minutes, individuals share experiences and learn strategies to manage these behaviors. It's a supportive, confidential environment for personal growth and change.

179 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.37 typical visit price

range $63.67 – $189.37

Typical copayment $47.34 (range $15.91 – $47.34)

Most-billed visit code 99205

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JACLYN ANN SUBKOVIAK OT

Occupational Therapist

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 341-0461

MARCIE G HUME PHARM.D.

Pharmacist

1100 9TH AVE, MS C3-PO
SEATTLE, WA 98101

King County (206) 223-6877

DR. VINAY GUPTA MD

Internal Medicine (Critical Care Medicine)

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6980

MARY JO BUKOVIC CCP

Contractor

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

PEGAH SAFAEIAN D.O.

Physical Medicine & Rehabilitation

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

MRS. GENEVIEVE HOUDET-COTE SLP

Speech-Language Pathologist

1100 9TH AVE, MS:H4-PMR
SEATTLE, WA 98101

King County (206) 341-0461

ROBERT DALE MCCLURE MD

Surgery

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

VIRGINIA MASON MEDICAL CENTER

Internal Medicine (Gastroenterology)

1100 9TH AVE
SEATTLE, WA 98101

King County (206) 223-6600

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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1548609712. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 1100 9th Ave, Seattle, WA 98101. The listed phone number is (206) 372-8568.

What is Jennifer Kelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Kelly enrolled in Medicare?

Yes. Jennifer 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.

What insurance does Jennifer Kelly accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Jennifer 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 Jennifer Kelly was last updated on July 21, 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.