KELLI GARY LMHC
NPI 1801377940
Counselor - Mental Health in Canton, NY

Q: What is Kelli Gary's NPI number?

The NPI number for Kelli Gary is 1801377940. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Q: What is Kelli Gary's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Gary was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2018PECOS EnrolledAccepts Medicare Assignment

80 STATE HIGHWAY 310, CANTON, NY 13617(315) 229-3480(315) 229-3489 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2024, Sep 17, 2020, Feb 11, 2019 and 1 more (4 updates tracked since 2018).

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About Kelli Gary Lmhc NPPES

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

KELLI GARY LMHC (NPI 1801377940) is an individual mental health provider in Canton, New York and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Watertown, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1801377940

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLI GARYCredential: LMHC

Location Address80 STATE HIGHWAY 310Canton, NY 13617-1436

Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184

Phone(315) 229-3480

Fax(315) 229-3489

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 27, 2018

Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1801377940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

80 STATE HIGHWAY 310, Canton, NY 13617

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Secondary Practice Location 1

Location 1211 J.B. Wise PlazaWatertown, NY 13601 · Phone (315) 782-7445 · Fax (315) 779-1184

Other Identifiers 1

Medicaid3372621NY

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 Gary 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 ID3173969284

PECOS Enrollment IDI20240312001832

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.

MR. RODERICK A WATERS CASAC

Counselor (Addiction (Substance Use Disorder))