KATELYN L LY
NPI 1861107765
Counselor - Mental Health in Baltimore, MD

Active since January 16, 2023PECOS EnrolledAccepts Medicare Assignment
5022 CAMPBELL BLVD STE 4969, BALTIMORE, MD 21236(443) 794-3986 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katelyn L Ly NPPES

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

KATELYN L LY (NPI 1861107765) is an individual mental health provider in Baltimore, Maryland, licensed in Maryland (LGP13476) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861107765
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYN L LY
Location Address5022 CAMPBELL BLVD STE 4969Baltimore, MD 21236-4969
Mailing Address109 Sipple AveNottingham, MD 21236-4330 · (443) 794-3986
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 16, 2023
NPPES CertifiedJanuary 16, 2023
NPI 1861107765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LGP13476
5022 CAMPBELL BLVD STE 4969, Baltimore, MD 21236

Medicare Participation & PECOS Enrollment Status

Katelyn Ly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Katelyn Ly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5991225187

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250218002477

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
5022 CAMPBELL BLVD STE 4969
NOTTINGHAM, MD 21236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861107765, enumerated as an "individual" on January 16, 2023.

The provider is located at 5022 CAMPBELL BLVD STE 4969 BALTIMORE, MD 21236 and the phone number is (443) 794-3986.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.