MRS. KRISTINA JENNIFER KELLY LMHC
NPI 1750500476
Counselor - Mental Health in Elizabethtown, NY

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
ESSEX COUNTY MEMORIAL HEALTH, 7513 COURT ST, ELIZABETHTOWN, NY 12932(518) 873-3670(518) 873-3777 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristina Jennifer Kelly Lmhc NPPES

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

MRS. KRISTINA JENNIFER KELLY LMHC (NPI 1750500476) is an individual mental health provider in Elizabethtown, New York, licensed in New York (002069) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1750500476
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KRISTINA JENNIFER KELLYCredential: LMHC
Location AddressESSEX COUNTY MEMORIAL HEALTH, 7513 COURT STElizabethtown, NY 12932
Mailing AddressEssex County Memorial Health, 7513 Court St Po Box 8Elizabethtown, NY 12932 · (518) 873-3670 · Fax (518) 873-3777
Fax(518) 873-3777
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 24, 2007
Last NPPES UpdateNovember 17, 2022
NPPES CertifiedNovember 17, 2022
NPI 1750500476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in NY · 002069 Licensed in VT · 0680134561
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 002069 (NY)
ESSEX COUNTY MEMORIAL HEALTH, Elizabethtown, NY 12932

Other Names 1

Former Name (1)Kristina Jennifer Pierson Lmhc

Other Identifiers 1

Medicaid02996789NY

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. Kristina Jennifer Kelly 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 ID6305286881
PECOS Enrollment IDI20240501001259
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.

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 Kristina Kelly's NPI number?

The NPI number for Kristina Kelly is 1750500476. It was assigned to this individual provider in the NPPES registry on April 24, 2007. The provider is also known as Kristina Jennifer Pierson Lmhc.

Where is Kristina Kelly located?

Kristina Kelly practices at Essex County Memorial Health 7513 Court St, Elizabethtown, NY 12932. The listed phone number is (518) 873-3670.

What is Kristina Kelly's specialty?

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

Is Kristina Kelly enrolled in Medicare?

Yes. Kristina Kelly 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.

When was this NPI record last updated?

The NPPES record for Kristina Kelly was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.