MRS. KELSEY WELLIVER LMHC
NPI 1952870461
Counselor - Mental Health in Rochester, NY

Q: What is Kelsey Welliver's NPI number?

The NPI number for Kelsey Welliver is 1952870461. It was assigned to this individual provider in the NPPES registry on November 14, 2018. The provider is also known as Kelsey James Lmhc.

Q: What is Kelsey Welliver's specialty?

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

Q: Is Kelsey Welliver enrolled in Medicare?

No. Kelsey Welliver has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Welliver was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 14, 2018Opted out of Medicare · through Feb 13, 2028

120 ALLENS CREEK RD, ROCHESTER, NY 14618(585) 280-1750 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kelsey Welliver Lmhc NPPES

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

MRS. KELSEY WELLIVER LMHC (NPI 1952870461) is an individual mental health provider in Rochester, New York, licensed in New York (009092) and active in the NPI registry since November 2018. She has opted out of Medicare through February 13, 2028.

NPPES Registry Identity

NPI1952870461

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. KELSEY WELLIVERCredential: LMHC

Location Address120 ALLENS CREEK RDRochester, NY 14618-3306

Mailing Address63 Stanford DrRochester, NY 14610-2338

Phone(585) 280-1750

Sole ProprietorYes

Enumeration DateNovember 14, 2018

✔ NPI 1952870461 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 NY · 009092

120 ALLENS CREEK RD, Rochester, NY 14618

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Other Names 1

Former Name (1)Kelsey James Lmhc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kelsey Welliver Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2024

Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

DR. KERRY GORDON PH.D.

Psychologist (Clinical)