KIMBERLY KELLEHER
NPI 1629687306
Counselor - Professional in Catonsville, MD
NPI Status: Active since July 28, 2020
Contact Information
9 NEWBURG AVE STE 102
CATONSVILLE, MD
ZIP 21228
Phone: (443) 840-7862
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About KIMBERLY KELLEHER
This page provides the complete NPI Profile along with additional information for Kimberly Kelleher, a provider established in Catonsville, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1629687306 assigned on July 2020. The practitioner's primary taxonomy code is 101YP2500X with license number LC14859 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1629687306
- Provider Name
- KIMBERLY KELLEHER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9 NEWBURG AVE STE 102 CATONSVILLE, MD 21228
- Location Phone
- (443) 840-7862
- Mailing Address
- PO BOX 38535 BALTIMORE, MD 21231
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-28-2020
- Last Update Date
- 06-12-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kimberly Kelleher opted out of Medicare effective on 08-03-2024 until 08-03-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 3655 Nobel Dr Ste 400
San Diego, CA 92122
(858) 750-7379
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC14859
- License State
- MD
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 15654 (CA) |
| 2 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | (CA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-03-2024
Opt-Out End Date: 08-03-2026
Eligible to Order and Refer? No
Reviews for KIMBERLY KELLEHER
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629687306, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CATONSVILLE, MD 21228
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629687306, enumerated as an "individual" on July 28, 2020.
The provider is located at 9 NEWBURG AVE STE 102 CATONSVILLE, MD 21228 and the phone number is (443) 840-7862.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
