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KOLLETTIA KELLY LPC
NPI 1659098317
Counselor - Professional in Cos Cob, CT

Active since October 24, 2022PECOS Enrolled
45 VALLEY RD, COS COB, CT 06807(203) 832-7024 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kollettia Kelly Lpc NPPES

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

KOLLETTIA KELLY LPC (NPI 1659098317) is an individual professional provider in Cos Cob, Connecticut, licensed in Connecticut (46.005903) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilton.

NPPES Registry Identity

NPI1659098317
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKOLLETTIA KELLYCredential: LPC
Location Address45 VALLEY RDCos Cob, CT 06807-2530
Mailing Address372 Danbury RdWilton, CT 06897-2548
Phone(203) 832-7024
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1659098317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 46.005903
45 VALLEY RD, Cos Cob, CT 06807
Open in Google Maps ↗

Secondary Practice Location 1

Location 1372 Danbury RdWilton, CT 06897-2548 · Phone (203) 832-7024

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Kollettia Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
389 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Connecticut enrollment
  • 64 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kollettia Kelly's NPI number?

The NPI number for Kollettia Kelly is 1659098317. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Kollettia Kelly located?

Kollettia Kelly practices at 45 Valley Rd, Cos Cob, CT 06807. The listed phone number is (203) 832-7024.

What is Kollettia Kelly's specialty?

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

Is Kollettia Kelly enrolled in Medicare?

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

Which organization bills Medicare for Kollettia Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kollettia Kelly reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Kollettia Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kollettia Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield list Kollettia 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 Kollettia Kelly was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.