MRS. KELLEY HAVILL LMFT, LMHC
NPI 1710026372
Marriage & Family Therapist in Bloomington, IN

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
3925 HAGAN ST, 203, BLOOMINGTON, IN 47401(812) 334-0001(812) 334-0001 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelley Havill Lmft, Lmhc NPPES

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

MRS. KELLEY HAVILL LMFT, LMHC (NPI 1710026372) is an individual marriage & family therapist in Bloomington, Indiana, licensed in Indiana (35001502A) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1710026372
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. KELLEY HAVILLCredential: LMFT, LMHC
Location Address3925 HAGAN ST, 203Bloomington, IN 47401
Mailing Address3925 Hagan St, 203Bloomington, IN 47401-8556 · (812) 333-9895 · Fax (812) 334-0001
Fax(812) 334-0001
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 31, 2018
NPI 1710026372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in IN · 35001502A
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 39001493A (IN)
3925 HAGAN ST, Bloomington, IN 47401

Accepted Insurance

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

Mrs. Kelley Havill Lmft, Lmhc 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 ID3173962321
PECOS Enrollment IDI20240419002801
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 2

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

Obstetrics & Gynecology
3925 HAGAN ST, SUITE 104
BLOOMINGTON, IN 47401
Dentist (Periodontics)
3925 HAGAN ST, 204
BLOOMINGTON, IN 47401

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 Kelley Havill's NPI number?

The NPI number for Kelley Havill is 1710026372. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Kelley Havill located?

Kelley Havill practices at 3925 Hagan St 203, Bloomington, IN 47401. The listed phone number is (812) 334-0001.

What is Kelley Havill's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelley Havill enrolled in Medicare?

Yes. Kelley Havill 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.

What insurance does Kelley Havill accept?

Health plans from CareSource and Providence Health Plan list Kelley Havill 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 Kelley Havill was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.