Brian E Kelly

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC015266 Issued in PA

Practice address

1040 E Windhaven Rd
Pittsburgh, PA 15205-8700

Phone

(724) 396-1510

Fax

(724) 972-4627

NPI assigned

Jan 19, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pioneer Counseling and Consulting LLCGroup PAC ID 9032654132, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pioneer Counseling and Consulting LLC

  • Professional Counselor
  • Washington, PA
  • NPI 1174236988
  Medicare reassignment Care Compare group NPD
• Christian Counseling Associates of Western Pennsylvania

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1124830559
  NPD
• Christian Counseling Associates of Western Pennsylvania

  • Community/Behavioral Health Agency
  • Pittsburgh, PA
  • NPI 1326848748
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1679288120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SCOTT LN",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153671115",
            "telephone_number": "412-737-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E WINDHAVEN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152058700",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6751 Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152363540",
            "country_code": "US",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC015266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kelly
• Amy Kelly
• Angela Kelly
• Angela J. Kelly, CRNA
• Arleen Grace Kelly, LSW
• Briana Kelly, OTR
• Carly Kelly, PA-C
• Christina Kelly, SLP
• Douglas Kelly
• Edward George Kelly, MD

• Professional Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.