Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRYSTAL KELLY LPC
NPI 1821753658
Counselor - Professional in Bloomfield, CT

Q: What is Krystal Kelly's NPI number?

The NPI number for Krystal Kelly is 1821753658. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Q: What is Krystal Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krystal Kelly was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since November 06, 2021PECOS Enrolled

1 REGENCY DR STE 101, BLOOMFIELD, CT 06002(860) 905-4776 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2023, Nov 6, 2021 (2 updates tracked since 2021).

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About Krystal Kelly Lpc NPPES

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

KRYSTAL KELLY LPC (NPI 1821753658) is an individual professional provider in Bloomfield, Connecticut, licensed in Connecticut (004885) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821753658

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKRYSTAL KELLYCredential: LPC

Location Address1 REGENCY DR STE 101Bloomfield, CT 06002-2310

Mailing Address27 Holmes DrWindsor, CT 06095-3969 · (860) 778-5015

Phone(860) 905-4776

Sole ProprietorYes

Enumeration DateNovember 6, 2021

Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1821753658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CT · 004885

Also ListedCounselorTaxonomy 101Y00000X · License 004885 (CT)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 004885 (CT)

1 REGENCY DR STE 101, Bloomfield, CT 06002

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Kelly Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Krystal Kelly's NPI number?

The NPI number for Krystal Kelly is 1821753658. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Where is Krystal Kelly located?

Krystal Kelly practices at 1 Regency Dr Ste 101, Bloomfield, CT 06002. The listed phone number is (860) 905-4776.

What is Krystal Kelly's specialty?

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

Is Krystal Kelly enrolled in Medicare?

Yes. Krystal Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Krystal Kelly accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Krystal 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 Krystal Kelly was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.