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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHANIE ANN KELLY PC, LMHC, LPC, CMHC
NPI 1619508017
Counselor - Mental Health in Brandon, FL

Active since February 04, 2020PECOS Enrolled
710 OAKFIELD DR STE 221, BRANDON, FL 33511(813) 563-9553(813) 939-9553 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Jan 17, 2023, Feb 4, 2020 (3 updates tracked since 2020).

About Stephanie Ann Kelly Pc, Lmhc, Lpc, Cmhc NPPES

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

STEPHANIE ANN KELLY PC, LMHC, LPC, CMHC (NPI 1619508017) is an individual mental health provider in Brandon, Florida, licensed in Florida (MH17627) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619508017
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE ANN KELLYCredential: PC, LMHC, LPC, CMHC
Location Address710 OAKFIELD DR STE 221Brandon, FL 33511-4924
Mailing Address126 Bessemer CirBrandon, FL 33511-7953 · (813) 563-5663 · Fax (813) 939-5663
Phone(813) 563-9553
Fax(813) 939-9553
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 4, 2020
Last NPPES UpdateOctober 9, 20263 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1619508017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH17627✔ Licensed in UT · 14139176-6004✔ Licensed in IN · 39005679A✔ Licensed in NH · 2637✔ Licensed in VT · 068.0136813
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LCPC-10005 (ID), PC019523 (PA), 7692 (CT), 6401225670 (MI), CTB-2023-0889 (NM), E.2505717 (OH)
710 OAKFIELD DR STE 221, Brandon, FL 33511
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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)

Stephanie Ann Kelly Pc, Lmhc, Lpc, Cmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436595493
PECOS Enrollment IDI20260413000129
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 Stephanie Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
197 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Idaho, Indiana, Michigan, New Mexico, Ohio, Pennsylvania and Vermont enrollments
  • 138 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 9

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

BLAIR-TIFFANY MCCORMICK LCSW
Social Worker (Clinical)
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (305) 494-2843
CARMA JONES
Behavior Technician
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 701-8161
MRS. LATASHA LANEE GREEN-BOYD LCSW
Social Worker (Clinical)
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 999-3001
TRANSFORMING MINDS TOGETHER
Counselor (Mental Health)
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 308-9310
HAND IN HAND COUNSELING
Community/Behavioral Health
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 708-4088
GROW AND GLOW THERAPY
Clinic/Center (Multi-Specialty)
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 701-8161
GROW AND GLOW BEHAVIORAL HEALTH LLC
Social Worker (Clinical)
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 701-8161
LIFES JOURNEY COUNSELING SERVICES
Counselor (Mental Health)
710 OAKFIELD DR STE 221
BRANDON, FL 33511
Hillsborough County (813) 922-5273

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 Stephanie Kelly's NPI number?

The NPI number for Stephanie Kelly is 1619508017. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Stephanie Kelly located?

Stephanie Kelly practices at 710 Oakfield Dr Ste 221, Brandon, FL 33511. The listed phone number is (813) 563-9553.

What is Stephanie Kelly's specialty?

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

Is Stephanie Kelly enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Kelly reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Stephanie Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BridgeSpan Health Company and Cigna HealthCare of Florida, Inc. and 10 other insurers list Stephanie Kelly 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 Stephanie Kelly was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.