MIKE B KELLY M.A., LIMHP, PLADC,
NPI 1902967227
Counselor - Mental Health in Kearney, NE

Q: What is Mike Kelly's NPI number?

The NPI number for Mike Kelly is 1902967227. It was assigned to this individual provider in the NPPES registry on December 12, 2006. The provider is also known as Michael B. Kelly-Defreece.

Q: What is Mike Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mike Kelly was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment

3810 CENTRAL AVE, KEARNEY, NE 68847(308) 237-5951(308) 234-4018 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mike B Kelly M.a., Limhp, Pladc, NPPES

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

MIKE B KELLY M.A., LIMHP, PLADC, (NPI 1902967227) is an individual mental health provider in Kearney, Nebraska, licensed in Nebraska (928) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hastings, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1902967227

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMIKE B KELLYCredential: M.A., LIMHP, PLADC,

Location Address3810 CENTRAL AVEKearney, NE 68847-8134

Mailing Address3810 Central AveKearney, NE 68847-8134 · (083) 237-5951 · Fax (308) 234-4018

Phone(308) 237-5951

Fax(308) 234-4018

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 12, 2006

Last NPPES UpdateDecember 4, 2019

✔ NPI 1902967227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in NE · 928✔ Licensed in NE · 2718

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License P-939 (NE)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1446 (NE)

3810 CENTRAL AVE, Kearney, NE 68847

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Other Names 1

Former Name (1)Michael B. Kelly-defreece

Secondary Practice Location 1

Location 1616 W 5th StHastings, NE 68901-5104 · Phone (402) 463-5684 · Fax (402) 463-5686

Other Identifiers 1

Medicaid10025451701NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, UnitedHealthcare.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

Mike B Kelly M.a., Limhp, Pladc, 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 ID6204284540

PECOS Enrollment IDI20231128001829

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 2

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, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

71 services12 patients

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.

64 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.

ANTESHIA ZULKOSKI LMHP, PLADC

Counselor (Mental Health)