KELLY J WILT LPC
NPI 1679194898
Counselor - Professional in Tucson, AZ

Active since April 28, 2020Opted out of Medicare · through Jan 1, 2028
660 N 3RD AVE, TUCSON, AZ 85705(520) 329-3166 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly J Wilt Lpc NPPES

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

KELLY J WILT LPC (NPI 1679194898) is an individual professional provider in Tucson, Arizona, licensed in Arizona (LPC-20247) and active in the NPI registry since April 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679194898
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY J WILTCredential: LPC
Location Address660 N 3RD AVETucson, AZ 85705-7856
Mailing Address611 E 4th StTucson, AZ 85705-7807 · (570) 660-6325
Sole ProprietorYes
Enumeration DateApril 28, 2020
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
NPI 1679194898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in AZ · LPC-20247 Licensed in AZ · LAC-18119
660 N 3RD AVE, Tucson, AZ 85705

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kelly J Wilt Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Wilt's NPI number?

The NPI number for Kelly Wilt is 1679194898. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Kelly Wilt located?

Kelly Wilt practices at 660 N 3rd Ave, Tucson, AZ 85705. The listed phone number is (520) 329-3166.

What is Kelly Wilt's specialty?

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

Is Kelly Wilt enrolled in Medicare?

No. Kelly Wilt has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Wilt accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Kelly Wilt 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 Kelly Wilt was last updated on November 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.