MRS. EMILJA KELLY LPMHC
NPI 1740729342
Counselor - Mental Health in Canandaigua, NY

Active since February 15, 2017Opted out of Medicare · through Feb 17, 2028
400 FORT HILL AVE STE 17, CANANDAIGUA, NY 14424(585) 393-7700 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Emilja Kelly Lpmhc NPPES

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

MRS. EMILJA KELLY LPMHC (NPI 1740729342) is an individual mental health provider in Canandaigua, New York, licensed in Wisconsin (6192-125) and active in the NPI registry since February 2017. She has opted out of Medicare through February 17, 2028.

NPPES Registry Identity

NPI1740729342
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. EMILJA KELLYCredential: LPMHC
Location Address400 FORT HILL AVE STE 17Canandaigua, NY 14424-1159
Mailing Address238 Hillview DrRochester, NY 14622-1716 · (585) 429-0699
Sole ProprietorNo
Enumeration DateFebruary 15, 2017
NPI 1740729342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WI · 6192-125
400 FORT HILL AVE STE 17, Canandaigua, NY 14424

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Emilja Kelly Lpmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2026 through February 17, 2028.

Opt-Out Effective DateFebruary 17, 2026
Opt-Out In Effect ThroughFebruary 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Emilja Kelly's NPI number?

The NPI number for Emilja Kelly is 1740729342. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Emilja Kelly located?

Emilja Kelly practices at 400 Fort Hill Ave Ste 17, Canandaigua, NY 14424. The listed phone number is (585) 393-7700.

What is Emilja Kelly's specialty?

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

Is Emilja Kelly enrolled in Medicare?

No. Emilja Kelly has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Emilja Kelly was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.