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MARIYA KELLY
NPI 1639775513
Counselor - Professional in Franklin Lakes, NJ

Active since December 07, 2020PECOS Enrolled
851 FRANKLIN LAKE RD STE 204, FRANKLIN LAKES, NJ 07417(833) 937-2724 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mariya Kelly NPPES

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

MARIYA KELLY (NPI 1639775513) is an individual professional provider in Franklin Lakes, New Jersey, licensed in New Jersey (37PC00722000) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1639775513
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARIYA KELLY
Location Address851 FRANKLIN LAKE RD STE 204Franklin Lakes, NJ 07417-2267
Mailing Address851 Franklin Lake Rd Ste 204Franklin Lakes, NJ 07417-2267
Phone(833) 937-2724
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 7, 2020
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1639775513 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 NJ · 37PC00722000
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00323700 (NJ)
851 FRANKLIN LAKE RD STE 204, Franklin Lakes, NJ 07417
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5294215000
PECOS Enrollment IDI20260219000412
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 Mariya Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baker Street Behavioral Health
Same address
Clinical
851 FRANKLIN LAKE RD STE 204
Franklin Lakes, NJ 07417
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
NPI 1659841096 (201) 660-8270
Value Life Psychological Services, LLC
9.0 mi
Clinical
908 POMPTON AVE STE B2
Cedar Grove, NJ 07009
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1962438663 (973) 239-0024

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 16

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

JULIA RIGATTI OTR/L
Occupational Therapist (Pediatrics)
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (613) 201-6136
BRAD AHERN
Psychologist
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (833) 937-2724
BAKER STREET MASSACHUSETTS, LLC
Counselor (Mental Health)
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (833) 937-2724
KIERSTEN FRANCES LEONE
Behavior Analyst
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (201) 660-8270
MEREDITH GALASSO MA, LPC
Counselor (Mental Health)
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (201) 381-6136
SABRINA REMPEL
Speech-Language Pathologist
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (201) 381-6136
LORI MICHELLE FINK LMFT
Marriage & Family Therapist
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (415) 966-9192
BAKER STREET BEHAVIORAL HEALTH
Psychologist (Clinical)
851 FRANKLIN LAKE RD STE 204
FRANKLIN LAKES, NJ 07417
Bergen County (201) 660-8270

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 Mariya Kelly's NPI number?

The NPI number for Mariya Kelly is 1639775513. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Mariya Kelly located?

Mariya Kelly practices at 851 Franklin Lake Rd Ste 204, Franklin Lakes, NJ 07417. The listed phone number is (833) 937-2724.

What is Mariya Kelly's specialty?

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

Is Mariya Kelly enrolled in Medicare?

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

Which organizations bill Medicare for Mariya Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariya Kelly reassigns Medicare benefits to 2 organizations: Baker Street Behavioral Health (Franklin Lakes, NJ) and Value Life Psychological Services, LLC (Cedar Grove, NJ). 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 Mariya Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariya Kelly was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.