KELLY E NOWOTNY LPC
NPI 1740420298
Counselor in Austin, TX

Active since February 24, 2009PECOS Enrolled
12319 WILLOW WILD DR STE B, AUSTIN, TX 78758(512) 470-3539(512) 837-3131 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2024, Jun 12, 2024 (2 updates tracked since 2024).

About Kelly E Nowotny Lpc NPPES

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

KELLY E NOWOTNY LPC (NPI 1740420298) is an individual counselor in Austin, Texas, licensed in Texas (64120) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1740420298
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY E NOWOTNYCredential: LPC
Location Address12319 WILLOW WILD DR STE BAustin, TX 78758-2725
Mailing Address8613 Rock Pigeon DrAustin, TX 78729-8086 · (512) 470-3539
Fax(512) 837-3131
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 24, 2009
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1740420298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 64120
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
12319 WILLOW WILD DR STE B, Austin, TX 78758

Other Identifiers 1

Medicaid208050902TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly E Nowotny Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527401488
PECOS Enrollment IDI20240207002266
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 Nowotny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 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.

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 Nowotny's NPI number?

The NPI number for Kelly Nowotny is 1740420298. It was assigned to this individual provider in the NPPES registry on February 24, 2009.

Where is Kelly Nowotny located?

Kelly Nowotny practices at 12319 Willow Wild Dr Ste B, Austin, TX 78758. The listed phone number is (512) 470-3539.

What is Kelly Nowotny's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kelly Nowotny enrolled in Medicare?

Yes. Kelly Nowotny is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Nowotny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Nowotny reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Nowotny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Nowotny accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Kelly Nowotny 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 Kelly Nowotny was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.