Individual provider Active NPI

Mary Kathleen D Kelley, RN, LPC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1235774696
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701010214 Issued in VA
Practice address
810 Bestgate Rd Ste 325
Annapolis, MD 21401-3648
Phone
(571) 344-4224
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001152431 VA
Professional Counselor 101YP2500X LC13328 MD
Professional Counselor 101YP2500X 0701010214 VA Primary
Mental Health Counselor 101YM0800X 0701010214 VA

Addresses

Primary practice location

810 Bestgate Rd Ste 325
Annapolis, MD 21401-3648

Mailing address

810 Bestgate Rd Ste 325
Annapolis, MD 21401-4291
Phone (703) 831-8300

Other practice location 1

1360 Beverly Rd Ste 200
Mc Lean, VA 22101-3647
Phone (703) 831-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240105002207 DC Practitioner - Mental Health Counselor 8224489034 Reassigns benefits to 1 organization
I20240215003752 MD Practitioner - Mental Health Counselor 8224489034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1360 Beverly Rd
Suite 200
MC Lean, VA 22101-3647
Phone (703) 831-8300

810 Bestgate Rd
Suite 325
Annapolis, MD 21401-3648
Phone (443) 906-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0701010214VAMDProfessional Counselor
0001152431VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Jan 2, 2024 Accepting new patients
Arundel Mental Health Professionals LLC CurrentSince Dec 24, 2023 Accepting new patients
Commonwealth Counseling Associates Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

810 Bestgate Rd
Ste 325
Annapolis, MD 21401
Phone (443) 906-3500

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

1360 Beverly Rd
Ste 200
McLean, VA 22101
Phone (203) 246-9073

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

12007 Sunrise Valley Dr
Ste 300
Reston, VA 20191
Phone (571) 307-0422

12007 Sunrise Valley Dr
Reston, VA 20191
Phone (703) 478-0440

Interoperability endpoints

  • Direct secure messaging: granatogroup.marykelley@144557.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1235774696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 325",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014291",
            "telephone_number": "703-831-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 BESTGATE RD STE 325",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013648",
            "telephone_number": "571-344-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Beverly Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013647",
            "country_code": "US",
            "telephone_number": "703-831-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MARY",
        "middle_name": "KATHLEEN D",
        "credential": "RN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001152431",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13328",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010214",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.