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KELLY STAUFFER LGPC
NPI 1558938845
Counselor - Mental Health in Rosedale, MD

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Stauffer Lgpc NPPES

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

KELLY STAUFFER LGPC (NPI 1558938845) is an individual mental health provider in Rosedale, Maryland, licensed in Maryland (LGP11072) 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

NPI1558938845
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY STAUFFERCredential: LGPC
Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157
Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203
Phone(410) 780-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1558938845 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 MD · LGP11072
9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237
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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

Kelly Stauffer Lgpc 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 ID3072041136
PECOS Enrollment IDI20250116003530
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 20

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

LONNETTE MCPHERSON
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (443) 469-5138
ADRIAN LEE STACKHOUSE
Social Worker (Clinical)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AMBER DUKES LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AYREL J FUNDERBURK
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
ABBIGALE ELIZABETH BOEHL
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
CAROLINE ELIZABETH MOLLENAUER
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
GRACE OMENYI LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
IESHA FELTON WATERS LCPC
Counselor (Professional)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203

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 Stauffer's NPI number?

The NPI number for Kelly Stauffer is 1558938845. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Kelly Stauffer located?

Kelly Stauffer practices at 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237. The listed phone number is (410) 780-5203.

What is Kelly Stauffer's specialty?

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

Is Kelly Stauffer enrolled in Medicare?

Yes. Kelly Stauffer 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.

When was this NPI record last updated?

The NPPES record for Kelly Stauffer was last updated on June 7, 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.