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KELLIE RAE VELASQUEZ
NPI 1548839061
Counselor - Mental Health in Trinidad, CO

Active since June 19, 2021PECOS Enrolled
134 W MAIN ST STE 12, TRINIDAD, CO 81082(719) 859-2539 Get Directions Write a Review

NPPES record last updated: June 19, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kellie Rae Velasquez NPPES

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

KELLIE RAE VELASQUEZ (NPI 1548839061) is an individual mental health provider in Trinidad, Colorado, licensed in Colorado (LPCC.0018585) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548839061
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLIE RAE VELASQUEZ
Location Address134 W MAIN ST STE 12Trinidad, CO 81082-2600
Mailing Address217 Dale StTrinidad, CO 81082-2006 · (719) 242-3685
Phone(719) 859-2539
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 19, 2021
NPPES CertifiedJune 19, 2021
✔ NPI 1548839061 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 CO · LPCC.0018585
134 W MAIN ST STE 12, Trinidad, CO 81082
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Rae Velasquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648624932
PECOS Enrollment IDI20231214000157
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 Kellie Velasquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Krv Counseling LLC
Same address
Professional
134 W MAIN ST STE 12
Trinidad, CO 81082
  • Reassigned Medicare billing, Colorado enrollment
NPI 1821776204 (719) 859-2539

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 5

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

MIRIAM ANGELICA ZENTENO-SPENCER LPCC
Counselor (Professional)
134 W MAIN ST STE 12
TRINIDAD, CO 81082
Las Animas County (719) 680-5658
AUDREY SUSAN SERAZIO CCC-SLP
Speech-Language Pathologist
134 W MAIN ST STE 12
TRINIDAD, CO 81082
Las Animas County (719) 846-4061
KRV COUNSELING LLC
Counselor (Professional)
134 W MAIN ST STE 12
TRINIDAD, CO 81082
Las Animas County (719) 859-2539
ELEPHANT IN THE ROOM LLC
Counselor (Professional)
134 W MAIN ST STE 12
TRINIDAD, CO 81082
Las Animas County (719) 223-3261
MONADE COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
134 W MAIN ST STE 12
TRINIDAD, CO 81082
Las Animas County (719) 846-2691

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 Kellie Velasquez's NPI number?

The NPI number for Kellie Velasquez is 1548839061. It was assigned to this individual provider in the NPPES registry on June 19, 2021.

Where is Kellie Velasquez located?

Kellie Velasquez practices at 134 W Main St Ste 12, Trinidad, CO 81082. The listed phone number is (719) 859-2539.

What is Kellie Velasquez's specialty?

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

Is Kellie Velasquez enrolled in Medicare?

Yes. Kellie Velasquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Velasquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Velasquez reassigns Medicare benefits to Krv Counseling LLC (Trinidad, CO). 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 Kellie Velasquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kellie Velasquez was last updated on June 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.