KELLY A. ROUGHGARDEN LPC
NPI 1750949384
Counselor - Professional in Moosic, PA

Active since May 29, 2019PECOS EnrolledAccepts Medicare Assignment
340 MONTAGE MOUNTAIN RD, MOOSIC, PA 18507(570) 346-3686 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly A. Roughgarden Lpc NPPES

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

KELLY A. ROUGHGARDEN LPC (NPI 1750949384) is an individual professional provider in Moosic, Pennsylvania and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750949384
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY A. ROUGHGARDENCredential: LPC
Location Address340 MONTAGE MOUNTAIN RDMoosic, PA 18507-1707
Mailing Address1535 Quincy AveDunmore, PA 18509-2503 · (570) 498-3129
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 29, 2019
NPI 1750949384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
340 MONTAGE MOUNTAIN RD, Moosic, PA 18507

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

Kelly A. Roughgarden Lpc 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 ID3870028103
PECOS Enrollment IDI20241125000033
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 20

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

Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Counselor (Professional)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Physician Assistant
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Physician Assistant (Medical)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Psychiatry & Neurology (Psychiatry)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507
Nurse Practitioner (Family)
340 MONTAGE MOUNTAIN RD
MOOSIC, PA 18507

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 Roughgarden's NPI number?

The NPI number for Kelly Roughgarden is 1750949384. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Kelly Roughgarden located?

Kelly Roughgarden practices at 340 Montage Mountain Rd, Moosic, PA 18507. The listed phone number is (570) 346-3686.

What is Kelly Roughgarden's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Roughgarden enrolled in Medicare?

Yes. Kelly Roughgarden 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 Kelly Roughgarden accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Kelly Roughgarden 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 Roughgarden was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.