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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Gary reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Helpers Care Inc
17 mi
Community Based Residential Treatment Facility, Mental Illness
2320 FORD STREET EXT
Ogdensburg, NY 13669
  • Reassigned Medicare billing, New York enrollment
  • 8 clinicians in this Medicare group
NPI 1578559159 (315) 393-9425

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DAWN M COLBERT LMSW
Social Worker
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2167
MS. MAVIS A BUSH
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MS. REGINA M WILLETTE RPA C
Midwife
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MISS RONEE K CREE CERPA
Peer Specialist
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2189
DEBORAH ANN WHITE
Registered Nurse
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2167
JAMIE L REED
Contractor
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2325
MS. RUTHANN M MATTHEWS CASAC
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
ANDREA HAYDEN
Contractor
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2325

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 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.

Where is Kelli Gary located?

Kelli Gary practices at 80 State Highway 310, Canton, NY 13617. The listed phone number is (315) 229-3480.

What is Kelli Gary's specialty?

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

Is Kelli Gary enrolled in Medicare?

Yes. Kelli Gary 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.

Which organization bills Medicare for Kelli Gary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Gary reassigns Medicare benefits to United Helpers Care Inc (Ogdensburg, NY). 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 Kelli Gary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelli Gary was last updated on October 3, 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.