KELSEY COLETTA LICSW, LCDP
NPI 1689256638
Counselor - Addiction (Substance Use Disorder) in Providence, RI
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Coletta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 358 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, RIOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Kelsey Coletta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Coletta reassigns Medicare benefits to Rhode Island Hospital (Providence, RI). 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 Kelsey Coletta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 10 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.
# Kelsey Coletta, LICSW, LCDP · NPI 1689256638
Addiction (Substance Use Disorder) provider in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1689256638 (Entity type: Individual)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** CDP00947 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 CORLISS ST, Providence, RI 02904-2602
- **Phone:** (401) 606-8530
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rhode Island Hospital (NPI 1154537520, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689256638) · Data from the CMS NPPES public registry.