KELLI LYNN WILSON LMFT
NPI 1952481400
Marriage & Family Therapist in Clarendon, VT

Active since October 17, 2006PECOS Enrolled
1247 AIRPORT ROAD, CLARENDON, VT 05759(802) 773-3620 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelli Lynn Wilson Lmft NPPES

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

KELLI LYNN WILSON LMFT (NPI 1952481400) is an individual marriage & family therapist in Clarendon, Vermont, licensed in Washington (LF61165203) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Whitman Hospital And Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1952481400
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLI LYNN WILSONCredential: LMFT
Location Address1247 AIRPORT ROADClarendon, VT 05759
Mailing Address1247 Airport RdNorth Clarendon, VT 05759-9398 · (802) 773-3620
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1952481400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in WA · LF61165203✔ Licensed in VT · 1000000042
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1247 AIRPORT ROAD, Clarendon, VT 05759

Other Names 1

Former Name (1)Kelli Lynn Wilson-young Lmft

Other Identifiers 2

Other00068963VT · Bcbs
Medicaid1010469VT

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)

Kelli Lynn Wilson Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284096454
PECOS Enrollment IDI20260824004506
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 Reassignments

2

Medicare enrollment records show Kelli Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Montana, North Carolina, Vermont and Washington enrollments
  • 5 clinicians in this Medicare group
Critical Access
1200 W FAIRVIEW RD
Colfax, WA 99111
  • Reassigned Medicare billing, Washington enrollment
  • 69 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Whitman Hospital And Medical Center

Critical Access Hospitals · Colfax, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501327
Location1200 West FairviewColfax, WA 99111 · Whitman County
Emergency services

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 Kelli Wilson's NPI number?

The NPI number for Kelli Wilson is 1952481400. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Kelli Lynn Wilson-Young Lmft.

Where is Kelli Wilson located?

Kelli Wilson practices at 1247 Airport Road, Clarendon, VT 05759. The listed phone number is (802) 773-3620.

What is Kelli Wilson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelli Wilson enrolled in Medicare?

Yes. Kelli Wilson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelli Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Wilson reassigns Medicare benefits to 2 organizations: Sailor Health Medical PA (Coral Gables, FL) and Public Hospital District No 3 Of Whitman County (Colfax, WA). 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 Kelli Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Kelli Wilson 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.

Is Kelli Wilson affiliated with any hospitals?

According to CMS data, Kelli Wilson is affiliated with Whitman Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kelli Wilson was last updated on November 17, 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.