KELSEY COLETTA LICSW, LCDP
NPI 1689256638
Counselor - Addiction (Substance Use Disorder) in Providence, RI

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
200 CORLISS ST, PROVIDENCE, RI 02904(401) 606-8530 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2025, Sep 11, 2025, Apr 25, 2024 and 5 more (8 updates tracked since 2021).

About Kelsey Coletta Licsw, Lcdp NPPES

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

KELSEY COLETTA LICSW, LCDP (NPI 1689256638) is an individual addiction (substance use disorder) provider in Providence, Rhode Island, licensed in Rhode Island (CDP00947) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689256638
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELSEY COLETTACredential: LICSW, LCDP
Location Address200 CORLISS STProvidence, RI 02904-2602
Mailing Address200 Corliss StProvidence, RI 02904-2602
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2021
Last NPPES UpdateNovember 26, 20258 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
NPI 1689256638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in RI · CDP00947
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License ISW04065 (RI)
200 CORLISS ST, Providence, RI 02904

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

Kelsey Coletta Licsw, Lcdp 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 ID1850766817
PECOS Enrollment IDI20230405002576
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
74 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Addiction Medicine)
200 CORLISS ST
PROVIDENCE, RI 02904
Psychologist (Clinical)
200 CORLISS ST
PROVIDENCE, RI 02904

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 Kelsey Coletta's NPI number?

The NPI number for Kelsey Coletta is 1689256638. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Kelsey Coletta located?

Kelsey Coletta practices at 200 Corliss St, Providence, RI 02904. The listed phone number is (401) 606-8530.

What is Kelsey Coletta's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelsey Coletta enrolled in Medicare?

Yes. Kelsey Coletta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelsey Coletta affiliated with any hospitals?

According to CMS data, Kelsey Coletta is affiliated with Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Coletta was last updated on November 26, 2025. 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.