1. Home
  2. Directory
  3. Wisconsin
  4. Elkhorn
  5. Counselor
  6. NPI Profile

CARRIE L KELLY LPC, SACIT
NPI 1821263724
Counselor - Professional in Elkhorn, WI

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
W4051 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-3200(262) 741-3217 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Carrie L Kelly Lpc, Sacit NPPES

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

CARRIE L KELLY LPC, SACIT (NPI 1821263724) is an individual professional provider in Elkhorn, Wisconsin, licensed in Wisconsin (4558-125) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1821263724
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARRIE L KELLYCredential: LPC, SACIT
Location AddressW4051 COUNTY ROAD NNElkhorn, WI 53121-4338
Mailing AddressPo Box 1005Elkhorn, WI 53121-1005 · (262) 741-3200 · Fax (262) 741-3217
Phone(262) 741-3200
Fax(262) 741-3217
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 23, 2008
Last NPPES UpdateApril 12, 2012
✔ NPI 1821263724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 4558-125
W4051 COUNTY ROAD NN, Elkhorn, WI 53121
Open in Google Maps ↗

Other Identifiers 2

Medicaid1821263724WI
Medicaid30604011KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica and more.Insurance ›

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

Carrie L Kelly Lpc, Sacit 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 ID244680262
PECOS Enrollment IDI20240103000421
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 Carrie Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prohealth Medical Group Inc
26 mi
Family Medicine
2130 BIG BEND RD
Waukesha, WI 53189
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
NPI 1760523559 (262) 928-7555

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.

JACQUELYN RUPNIK LPC-WI-4813-125
Counselor (Professional)
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
LIZA JAYNE DRAKE LCSW
Social Worker (Clinical)
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
KARLEEN LIBERTO
Speech-Language Pathologist
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3249
ALICIA KOVAC LCSW
Social Worker
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3375
JULIE VALLER MS, LPC, SACIT
Counselor (Professional)
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
MRS. SONIA L HILL MS
Counselor (Professional)
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
MRS. MALINDA BETH ANEY LPC, SAC-IT, NCC
Counselor (Professional)
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
LAURA GUETZKOW
Physical Therapist
W4051 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3249

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 Carrie Kelly's NPI number?

The NPI number for Carrie Kelly is 1821263724. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Carrie Kelly located?

Carrie Kelly practices at W4051 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-3200.

What is Carrie Kelly's specialty?

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

Is Carrie Kelly enrolled in Medicare?

Yes. Carrie 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.

Which organization bills Medicare for Carrie Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Kelly reassigns Medicare benefits to Prohealth Medical Group Inc (Waukesha, WI). 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 Carrie Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Medica, Network Health and UnitedHealthcare list Carrie Kelly 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 Carrie Kelly was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.