MRS. KELLY MELISSA MARCINIAK
NPI 1831734235
Behavior Technician in Middle River, MD
About Mrs. Kelly Melissa Marciniak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY MELISSA MARCINIAK (NPI 1831734235) is an individual behavior technician in Middle River, Maryland, licensed in Maryland (RBT-19-105378) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelly Melissa Marciniak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Marciniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rosedale, MD 21237
- Reassigned Medicare billing, Maryland enrollment
- 122 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Marciniak's NPI number?
The NPI number for Kelly Marciniak is 1831734235. It was assigned to this individual provider in the NPPES registry on November 10, 2019. The provider is also known as Mrs. Kelly Melissa Dotterweich.
Where is Kelly Marciniak located?
Kelly Marciniak practices at 4 Chelmsford Ct, Middle River, MD 21220. The listed phone number is (443) 838-8636.
What is Kelly Marciniak's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
Is Kelly Marciniak enrolled in Medicare?
Yes. Kelly Marciniak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Marciniak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Marciniak reassigns Medicare benefits to Thrive Behavioral Health, LLC (Rosedale, MD). 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 Kelly Marciniak'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 Kelly Marciniak was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.