KELSEY RENEE BATES M.A. LMHC, LPC, LCPC
NPI 1861096620
Counselor - Mental Health in New York, NY

Active since November 23, 2020Opted out of Medicare · through Aug 13, 2026
928 BROADWAY STE 803, NEW YORK, NY 10010(202) 902-7975 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, Nov 23, 2020 (2 updates tracked since 2020).

About Kelsey Renee Bates M.a. Lmhc, Lpc, Lcpc NPPES

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

KELSEY RENEE BATES M.A. LMHC, LPC, LCPC (NPI 1861096620) is an individual mental health provider in New York, New York, licensed in New York (010694) and active in the NPI registry since November 2020. She has opted out of Medicare through August 13, 2026.

NPPES Registry Identity

NPI1861096620
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY RENEE BATESCredential: M.A. LMHC, LPC, LCPC
Location Address928 BROADWAY STE 803New York, NY 10010-8125
Mailing Address928 Broadway Ste 803New York, NY 10010-8125 · (202) 902-7975
Sole ProprietorNo
Enumeration DateNovember 23, 2020
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1861096620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 010694
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LC11257 (MD), PRC15475 (DC), 011904 (GA), 0701010492 (VA)
928 BROADWAY STE 803, New York, NY 10010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelsey Renee Bates M.a. Lmhc, Lpc, Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 13, 2024 through August 13, 2026.

Opt-Out Effective DateAugust 13, 2024
Opt-Out In Effect ThroughAugust 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010
Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010
Clinic/Center (Mental Health (Including Community Mental Health Center))
928 BROADWAY STE 803
NEW YORK, NY 10010
Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010
Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010
Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010
Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010
Counselor (Mental Health)
928 BROADWAY STE 803
NEW YORK, NY 10010

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 Kelsey Bates's NPI number?

The NPI number for Kelsey Bates is 1861096620. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Kelsey Bates located?

Kelsey Bates practices at 928 Broadway Ste 803, New York, NY 10010. The listed phone number is (202) 902-7975.

What is Kelsey Bates's specialty?

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

Is Kelsey Bates enrolled in Medicare?

No. Kelsey Bates has opted out of Medicare through August 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelsey Bates was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.