1. Home
  2. Directory
  3. Colorado
  4. Elizabeth
  5. Counselor
  6. NPI Profile

KELLY ANN MCDERMOTT LAC
NPI 1881450898
Counselor - Addiction (Substance Use Disorder) in Elizabeth, CO

Active since February 27, 2024PECOS EnrolledAccepts Medicare Assignment
44921 OVERLAND TRL, ELIZABETH, CO 80107(303) 418-4573 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Ann Mcdermott Lac NPPES

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

KELLY ANN MCDERMOTT LAC (NPI 1881450898) is an individual addiction (substance use disorder) provider in Elizabeth, Colorado, licensed in Colorado (ACD.0000691) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1881450898
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY ANN MCDERMOTTCredential: LAC
Location Address44921 OVERLAND TRLElizabeth, CO 80107-9324
Mailing Address44921 Overland TrlElizabeth, CO 80107-9324 · (303) 418-4573
Phone(303) 418-4573
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1881450898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0000691
44921 OVERLAND TRL, Elizabeth, CO 80107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Ann Mcdermott Lac 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 ID6507394640
PECOS Enrollment IDI20250116002768
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Mcdermott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peace Of Mind 5280, Inc
12 mi
Mental Health
187 E KIOWA AVE
Elizabeth, CO 80107
  • Reassigned Medicare billing, Colorado enrollment
  • 4 clinicians in this Medicare group
NPI 1073378733 (303) 418-4573

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 Mcdermott's NPI number?

The NPI number for Kelly Mcdermott is 1881450898. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Kelly Mcdermott located?

Kelly Mcdermott practices at 44921 Overland Trl, Elizabeth, CO 80107. The listed phone number is (303) 418-4573.

What is Kelly Mcdermott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kelly Mcdermott enrolled in Medicare?

Yes. Kelly Mcdermott 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.

Which organization bills Medicare for Kelly Mcdermott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mcdermott reassigns Medicare benefits to Peace Of Mind 5280, Inc (Elizabeth, CO). 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 Mcdermott'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 Mcdermott was last updated on February 27, 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.