Individual provider Active NPI

Elizabeth Kelly, MSW

  • Mental Health Counselor
  • Hyannis, MA
National Provider Identifier
1669777876
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
206 Breeds Hill Rd
Hyannis, MA 02601-1881
Phone
(508) 775-0275
Fax
(508) 790-3988
NPI assigned
Jan 19, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MA Primary

Addresses

Primary practice location

206 Breeds Hill Rd
Hyannis, MA 02601-1881

Mailing address

206 Breeds Hill Rd
Hyannis, MA 02601-1881
Phone (508) 775-0275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220809000282 MA Practitioner - Clinical Social Worker 7517349426 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oria LLC CurrentSince Jul 1, 2025 Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children PastSince May 27, 2012 Accepting new patients

Locations

76 W Main St
Ste 307
Hyannis, MA 02601
Phone (508) 776-1159

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1669777876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 BREEDS HILL RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011881",
            "telephone_number": "508-775-0275",
            "fax_number": "508-790-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BREEDS HILL RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011881",
            "telephone_number": "508-775-0275",
            "fax_number": "508-790-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.