1. Home
  2. Directory
  3. Connecticut
  4. Torrington
  5. Counselor
  6. NPI Profile

KELLY LYNN O'HERON LADC
NPI 1710652847
Counselor - Addiction (Substance Use Disorder) in Torrington, CT

Active since August 11, 2021PECOS EnrolledAccepts Medicare Assignment
140 COMMERCIAL BLVD, TORRINGTON, CT 06790(860) 482-8796 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Lynn O'heron Ladc NPPES

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

KELLY LYNN O'HERON LADC (NPI 1710652847) is an individual addiction (substance use disorder) provider in Torrington, Connecticut, licensed in Connecticut (001408) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710652847
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY LYNN O'HERONCredential: LADC
Location Address140 COMMERCIAL BLVDTorrington, CT 06790-3098
Mailing Address140 Commercial BlvdTorrington, CT 06790-3098
Phone(860) 482-8796
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1710652847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 001408
140 COMMERCIAL BLVD, Torrington, CT 06790
Open in Google Maps ↗

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

Kelly Lynn O'heron Ladc 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 ID8224577127
PECOS Enrollment IDI20240822004598
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly O'heron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Dispensary
23 mi
Mental Health (Including Community Mental Health Center)
345 MAIN ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 50 clinicians in this Medicare group
NPI 1104949973 (860) 525-2181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MAKIA JOHNSON LCSW
Social Worker (Clinical)
140 COMMERCIAL BLVD
TORRINGTON, CT 06790
Northwest Hills Planning Region (860) 581-5688
MALORY DELGADO MA, ED.M
Counselor (Addiction (Substance Use Disorder))
140 COMMERCIAL BLVD
TORRINGTON, CT 06790
Northwest Hills Planning Region (860) 482-8807
KRISTYN CHASSE
Social Worker
140 COMMERCIAL BLVD
TORRINGTON, CT 06790
Northwest Hills Planning Region (860) 482-8796
ANNEMARIE H LUCAS LPC
Counselor (Addiction (Substance Use Disorder))
140 COMMERCIAL BLVD
TORRINGTON, CT 06790
Northwest Hills Planning Region (860) 482-8796
CARLY ALICE GONZALEZ
Counselor (Addiction (Substance Use Disorder))
140 COMMERCIAL BLVD
TORRINGTON, CT 06790
Northwest Hills Planning Region (860) 482-8796

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 O'heron's NPI number?

The NPI number for Kelly O'heron is 1710652847. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Kelly O'heron located?

Kelly O'heron practices at 140 Commercial Blvd, Torrington, CT 06790. The listed phone number is (860) 482-8796.

What is Kelly O'heron's specialty?

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

Is Kelly O'heron enrolled in Medicare?

Yes. Kelly O'heron 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 Kelly O'heron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly O'heron reassigns Medicare benefits to Hartford Dispensary (Hartford, CT). 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 Kelly O'heron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly O'heron was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.