BRIAN E KELLY
NPI 1679288120
Counselor - Professional in Pittsburgh, PA

Active since January 19, 2023PECOS EnrolledAccepts Medicare Assignment
1040 E WINDHAVEN RD, PITTSBURGH, PA 15205(724) 396-1510(724) 972-4627 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 30, 2023, Jan 19, 2023 (2 updates tracked since 2023).

About Brian E Kelly NPPES

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

BRIAN E KELLY (NPI 1679288120) is an individual professional provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (PC015266) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pittsburgh, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679288120
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBRIAN E KELLY
Location Address1040 E WINDHAVEN RDPittsburgh, PA 15205-8700
Mailing Address173 Scott LnVenetia, PA 15367-1115 · (412) 737-0305
Fax(724) 972-4627
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 19, 2023
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1679288120 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 PA · PC015266
1040 E WINDHAVEN RD, Pittsburgh, PA 15205

Secondary Practice Location 1

Location 16751 Ridge DrPittsburgh, PA 15236-3540 · Phone (724) 396-1510 · Fax (724) 972-4627

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian E Kelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517403173
PECOS Enrollment IDI20240719001567
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.

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
1040 E WINDHAVEN RD
PITTSBURGH, PA 15205
Community/Behavioral Health
1040 E WINDHAVEN RD
PITTSBURGH, PA 15205
Counselor (Professional)
1040 E WINDHAVEN RD
PITTSBURGH, PA 15205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679288120, enumerated as an "individual" on January 19, 2023.

The provider is located at 1040 E WINDHAVEN RD PITTSBURGH, PA 15205 and the phone number is (724) 396-1510.

Counselor with taxonomy code 101YP2500X and a focus in Professional.