Kadihjia S Kelly, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4922-125 Issued in WI

Practice address

1509 S Commercial St
Neenah, WI 54956-6152

Phone

(920) 722-8150

NPI assigned

Mar 9, 2017

Sex

Female

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 WI

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LK Anderson Consulting LLC 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• LK Anderson Consulting LLC

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1215401468

  Mental Health, WI

  Medicare reassignment Care Compare group NPD
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)
• Reach Counseling Services, Inc.

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1861592842

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1821539933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566152",
            "telephone_number": "920-722-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549566152",
            "telephone_number": "920-722-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KADIHJIA",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4922-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa C Keesler, DDS, MS
• Madeline Kehler, PT
• Jolynn Marie Kekke, PA
• Christina Haas Keller, D.P.T.
• Christopher J. Keller, M.D.
• Rachel D Kelly, OTR/L
• Jenna Kemink
• Bethany Kay Kempfert, P.T.
• Marley L. Kercher, M.D.
• Jennifer Marie Ketterhagen, PHARMD

• All providers in Neenah, WI
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.