Vincent Kelly, MS, CRC, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

083011 Issued in IA

Practice address

3839 Merle Hay Rd Ste 227
Des Moines, IA 50310-1312

Phone

(515) 669-8111

NPI assigned

Nov 15, 2017

Sex

Male

Sole proprietor

No

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 IA

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

Drake University College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affinity Therapy and Counseling ServicesGroup PAC ID 0840520300, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Affinity Therapy and Counseling Services

  • Mental Health Counselor
  • Des Moines, IA
  • NPI 1891147310
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1699288498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MERLE HAY RD STE 227",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101312",
            "telephone_number": "515-669-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Euclid Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503134582",
            "country_code": "US",
            "telephone_number": "515-669-8111",
            "fax_number": "515-462-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "VINCENT",
        "credential": "MS, CRC, TLMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "083011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eli Kelly, DO
• Jacqueline Kelly
• Jolene Rae Kelly, PA-C
• Meghan Kelly
• Patti Sue Kelly, ARNP
• Noah Eric Kelm, DO
• E'Shayla Kelson, MHA
• Katherine Kemmerer, O.D.
• Thomas Kemmerer, O.D.
• Shamrae Kemmet, ARNP

• Mental Health Counselor in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.