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KELLY QUEEN LPC
NPI 1861590283
Counselor - Professional in Troy, MI

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
2825 LIVERNOIS RD, TROY, MI 48083(248) 680-2060 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2024, Jan 18, 2023, Mar 16, 2021 (3 updates tracked since 2021).

About Kelly Queen Lpc NPPES

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

KELLY QUEEN LPC (NPI 1861590283) is an individual professional provider in Troy, Michigan, licensed in Michigan (6401007827) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1861590283
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY QUEENCredential: LPC
Location Address2825 LIVERNOIS RDTroy, MI 48083-1214
Mailing Address2825 Livernois RdTroy, MI 48083-1214 · (248) 680-2060
Phone(248) 680-2060
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1861590283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401007827
Also ListedCounselorTaxonomy 101Y00000X · License 6401007827 (MI)
2825 LIVERNOIS RD, Troy, MI 48083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Queen Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800818048
PECOS Enrollment IDI20240220003248
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
36 services12 patients

Other Providers at the Same Location NPPES 20

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

HENRY FORD HEALTH SYSTEM
Pharmacy (Community/Retail Pharmacy)
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 680-6080
DR. JENNY WAI-YIN LIN PHARM.D.
Pharmacist (Ambulatory Care)
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 680-6075
MRS. MARY ANN SPENCER CPHT
Pharmacy Technician
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 528-2248
HENRY FORD BEHAVIORAL HEALTH- TROY MEDICAL CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 682-2060
DANELLE RENAE STABEL D.O.
Pediatrics
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 680-6000
B WHITE LMSW
Social Worker (Clinical)
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 680-2060
MR. JOSEPH GERARD DEMSICH RPH
Pharmacist
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 528-2248
ELIZABETH BRADFORD MSW
Social Worker
2825 LIVERNOIS RD
TROY, MI 48083
Oakland County (248) 680-2060

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 Queen's NPI number?

The NPI number for Kelly Queen is 1861590283. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kelly Queen located?

Kelly Queen practices at 2825 Livernois Rd, Troy, MI 48083. The listed phone number is (248) 680-2060.

What is Kelly Queen's specialty?

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

Is Kelly Queen enrolled in Medicare?

Yes. Kelly Queen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Queen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Kelly Queen 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 Kelly Queen was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.