DINA KELLY LPC
NPI 1912662669
Counselor - Mental Health in Hackettstown, NJ

Active since November 07, 2021PECOS Enrolled
121 SHELLEY DR STE 2E, HACKETTSTOWN, NJ 07840(201) 213-0318(908) 979-1600 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dina Kelly Lpc NPPES

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

DINA KELLY LPC (NPI 1912662669) is an individual mental health provider in Hackettstown, New Jersey, licensed in New Jersey (37PC00778500) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912662669
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDINA KELLYCredential: LPC
Location Address121 SHELLEY DR STE 2EHackettstown, NJ 07840-2530
Mailing Address16 W Maple AveLong Valley, NJ 07853-3400 · (201) 213-0318
Fax(908) 979-1600
Sole ProprietorYes
Enumeration DateNovember 7, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1912662669 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 NJ · 37PC00778500
121 SHELLEY DR STE 2E, Hackettstown, NJ 07840

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dina Kelly Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Dina Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
121 SHELLEY DR, SUITE 2E
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 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 3

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

Counselor (Professional)
121 SHELLEY DR STE 2E
HACKETTSTOWN, NJ 07840
Counselor (Professional)
121 SHELLEY DR STE 2E
HACKETTSTOWN, NJ 07840
Counselor (Mental Health)
121 SHELLEY DR STE 2E
HACKETTSTOWN, NJ 07840

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 Dina Kelly's NPI number?

The NPI number for Dina Kelly is 1912662669. It was assigned to this individual provider in the NPPES registry on November 7, 2021.

Where is Dina Kelly located?

Dina Kelly practices at 121 Shelley Dr Ste 2E, Hackettstown, NJ 07840. The listed phone number is (201) 213-0318.

What is Dina Kelly's specialty?

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

Is Dina Kelly enrolled in Medicare?

Yes. Dina Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dina Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dina Kelly reassigns Medicare benefits to The Counseling And Mindfulness Group (Hackettstown, NJ). 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 Dina Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dina Kelly accept?

Health plans from Oscar Health list Dina Kelly 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 Dina Kelly was last updated on November 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.