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MR. KELLY KENDRICKS
NPI 1548872765
Counselor - Professional in Madison, WI

Active since August 19, 2020PECOS Enrolled
2002 ATWOOD AVE STE 225, MADISON, WI 53704(608) 416-5245(608) 416-5221 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2025, Nov 6, 2025, Aug 19, 2020 (3 updates tracked since 2020).

About Mr. Kelly Kendricks NPPES

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

MR. KELLY KENDRICKS (NPI 1548872765) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (10694-125) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1548872765
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KELLY KENDRICKS
Location Address2002 ATWOOD AVE STE 225Madison, WI 53704-5382
Mailing Address206 S Marietta St Apt 101Verona, WI 53593-1816 · (608) 609-6761
Phone(608) 416-5245
Fax(608) 416-5221
Sole ProprietorYes
Enumeration DateAugust 19, 2020
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1548872765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10694-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2002 ATWOOD AVE STE 225, Madison, WI 53704
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Secondary Practice Location 1

Location 12021 Atwood AveMadison, WI 53704-5324 · Phone (608) 244-4859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kelly Kendricks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kelly Kendricks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Insight Counseling & Wellness, LLC
Same address
Mental Health (Including Community Mental Health Center)
1943 WINNEBAGO ST
Madison, WI 53704
  • Reassigned Medicare billing, Wisconsin enrollment
  • 36 clinicians in this Medicare group
NPI 1447673702 (082) 444-8596
Cornerstone Counseling Services, Inc
63 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kendricks's NPI number?

The NPI number for Kelly Kendricks is 1548872765. It was assigned to this individual provider in the NPPES registry on August 19, 2020.

Where is Kelly Kendricks located?

Kelly Kendricks practices at 2002 Atwood Ave Ste 225, Madison, WI 53704. The listed phone number is (608) 416-5245.

What is Kelly Kendricks's specialty?

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

Is Kelly Kendricks enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Kendricks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kendricks reassigns Medicare benefits to 2 organizations: Insight Counseling & Wellness, LLC (Madison, WI) and Cornerstone Counseling Services, Inc (Brookfield, WI). Each 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 Kendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kendricks accept?

Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners, Network Health and Quartz and 1 other insurer list Kelly Kendricks 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 Kendricks was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.