KELLIE CAROSELLI
NPI 1558850388
Counselor in Austin, TX

Q: What is Kellie Caroselli's NPI number?

The NPI number for Kellie Caroselli is 1558850388. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Q: What is Kellie Caroselli's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Kellie Caroselli enrolled in Medicare?

No. Kellie Caroselli has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kellie Caroselli was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 07, 2018Opted out of Medicare · through May 9, 2028

4807 SPICEWOOD SPRINGS RD BLDG 1, AUSTIN, TX 78759(512) 843-7665 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kellie Caroselli NPPES

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

KELLIE CAROSELLI (NPI 1558850388) is an individual counselor in Austin, Texas, licensed in Texas (78098) and active in the NPI registry since May 2018. She has opted out of Medicare through May 9, 2028.

NPPES Registry Identity

NPI1558850388

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLIE CAROSELLI

Location Address4807 SPICEWOOD SPRINGS RD BLDG 1Austin, TX 78759-8444

Mailing Address6816 Telluride TrlAustin, TX 78749-1791

Phone(512) 843-7665

Sole ProprietorNo

Enumeration DateMay 7, 2018

✔ NPI 1558850388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in TX · 78098

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4807 SPICEWOOD SPRINGS RD BLDG 1, Austin, TX 78759

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kellie Caroselli has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 9, 2024 through May 9, 2028.

Opt-Out Effective DateMay 9, 2024

Opt-Out In Effect ThroughMay 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

AUSTIN BRIDGES

Counselor (Mental Health)