KELLI BASTIAANSE
NPI 1730476870
Counselor - Mental Health in Bristol, CT

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
29 WINDHAM RD, BRISTOL, CT 06010(860) 331-1854 Get Directions Write a Review

NPPES record last updated: July 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Bastiaanse NPPES

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

KELLI BASTIAANSE (NPI 1730476870) is an individual mental health provider in Bristol, Connecticut and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1730476870
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI BASTIAANSE
Location Address29 WINDHAM RDBristol, CT 06010-2762
Mailing Address29 Windham RdBristol, CT 06010-2762 · (860) 331-1854
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 8, 2011
NPI 1730476870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
29 WINDHAM RD, Bristol, CT 06010

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

Kelli Bastiaanse 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 ID8426493255
PECOS Enrollment IDI20240301003052
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

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

Marriage & Family Therapist
29 WINDHAM RD
BRISTOL, CT 06010

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 Kelli Bastiaanse's NPI number?

The NPI number for Kelli Bastiaanse is 1730476870. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Kelli Bastiaanse located?

Kelli Bastiaanse practices at 29 Windham Rd, Bristol, CT 06010. The listed phone number is (860) 331-1854.

What is Kelli Bastiaanse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelli Bastiaanse enrolled in Medicare?

Yes. Kelli Bastiaanse 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 Kelli Bastiaanse accept?

Health plans from Providence Health Plan list Kelli Bastiaanse 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 Kelli Bastiaanse was last updated on July 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.