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

Q: 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.

Q: What is Kellie Velasquez's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

AUDREY SUSAN SERAZIO CCC-SLP

Speech-Language Pathologist