KELLI SIECZKOWSKI, PLLC
NPI 1851830582
Community/Behavioral Health in Mesa, AZ

Active since February 14, 2017
1930 S ALMA SCHOOL RD STE D202, MESA, AZ 85210(480) 630-0316 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2019, Feb 14, 2017 (2 updates tracked since 2017).

About Kelli Sieczkowski, Pllc NPPES

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

KELLI SIECZKOWSKI, PLLC (NPI 1851830582) is a healthcare organization registered as a community/behavioral health in Mesa, Arizona and active in the NPI registry since February 2017. The organization lists Kelli Lynn Sieczkowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1851830582
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKELLI SIECZKOWSKI, PLLC
Location Address1930 S ALMA SCHOOL RD STE D202Mesa, AZ 85210-3045
Mailing Address2469 W Zepher AveFlagstaff, AZ 86001-2543 · (928) 225-9585
Organization SubpartNo
Authorized OfficialKelli Lynn SieczkowskiOwner · (480) 630-0613
Enumeration DateFebruary 14, 2017
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
✔ NPI 1851830582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in AZ · LCSW10655
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1930 S ALMA SCHOOL RD STE D202, Mesa, AZ 85210

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Sieczkowski, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kelli Sieczkowski, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1457850984
125 E ELM AVE STE 203
Flagstaff, AZ 86001
(480) 466-2428
✔ PECOS✔ Accepts Medicare126 mi
Clinical Social Worker
NPI 1740459460
408 N KENDRICK ST SUITE 3
Flagstaff, AZ 86001
(928) 774-6364
✔ PECOS✔ Accepts Medicare126 mi

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 Kelli Sieczkowski, PLLC's NPI number?

The NPI number for Kelli Sieczkowski, PLLC is 1851830582. It was assigned to this organization in the NPPES registry on February 14, 2017.

Where is Kelli Sieczkowski, PLLC located?

Kelli Sieczkowski, PLLC is located at 1930 S Alma School Rd Ste D202, Mesa, AZ 85210. The listed phone number is (480) 630-0316.

What is Kelli Sieczkowski, PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kelli Sieczkowski, PLLC enrolled in Medicare?

Yes. Kelli Sieczkowski, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelli Sieczkowski, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Kelli Sieczkowski, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelli Sieczkowski, PLLC was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.