KELLIE DYSON LMHC-D
NPI 1912364621
Counselor - Mental Health in Bronx, NY
About Kellie Dyson Lmhc-d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE DYSON LMHC-D (NPI 1912364621) is an individual mental health provider in Bronx, New York, licensed in New York (006989) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie Dyson Lmhc-d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kellie Dyson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 457 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 436 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kellie Dyson's NPI number?
The NPI number for Kellie Dyson is 1912364621. It was assigned to this individual provider in the NPPES registry on January 26, 2016.
Where is Kellie Dyson located?
Kellie Dyson practices at 2385 Arthur Ave Ste 201, Bronx, NY 10458. The listed phone number is (774) 206-1125.
What is Kellie Dyson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kellie Dyson enrolled in Medicare?
Yes. Kellie Dyson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kellie Dyson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Dyson reassigns Medicare benefits to 2 organizations: Che Senior Psychological Services, PC (Brooklyn, NY) and Knapp Street Psychiatry, PC (Brooklyn, NY). Each 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 Kellie Dyson'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 Kellie Dyson was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kellie Dyson, LMHC-D · NPI 1912364621
Mental Health provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since January 26, 2016.
## Identity
- **NPI:** 1912364621 (Entity type: Individual)
- **Enumerated:** January 26, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 006989 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2385 ARTHUR AVE STE 201, Bronx, NY 10458-8184
- **Phone:** (774) 206-1125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Che Senior Psychological Services, PC (NPI 1023078219, Brooklyn, NY); Knapp Street Psychiatry, PC (NPI 1043248776, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912364621) · Data from the CMS NPPES public registry.