Kelley Rieder Klungland, LPC-MHSP in Chattanooga, TN

Kelley Rieder Klungland, LPC-MHSP is a medicare enrolled "Counselor - Professional" provider in Chattanooga, Tennessee. Her current practice location is 1401 Williams St Ste 210, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 207-4712.

Kelley Rieder Klungland is licensed to practice in Tennessee (license number 5357) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477099828.

Contact Information

	Kelley Rieder Klungland, LPC-MHSP
	1401 Williams St Ste 210, Chattanooga, TN 37408-1190
	(423) 207-4712
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Rieder Klungland
Gender	Female
Speciality	Counselor - Professional
Location	1401 Williams St Ste 210, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477099828
Provider Enumeration Date: 01/10/2017
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1153772801
Enrollment ID: I20240108003643

Medical Identifiers

Medical identifiers for Kelley Rieder Klungland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477099828	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5357 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelley Rieder Klungland allows following entities to bill medicare on her behalf.

Entity Name	Omni Community Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881024172 PECOS PAC ID: 5799078804 Enrollment ID: O20160727001569

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Rieder Klungland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelley Rieder Klungland, LPC-MHSP 1400 Chestnut St Apt 241, Chattanooga, TN 37402-4521 Ph: (931) 247-0608	Kelley Rieder Klungland, LPC-MHSP 1401 Williams St Ste 210, Chattanooga, TN 37408-1190 Ph: (423) 207-4712

Reviews and Comments

Counselor in Chattanooga, TN

Mrs. Rebekah Good Doreau, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6110 Shallowford Rd, Suite B, Chattanooga, TN 37421 Phone: 888-291-4357 Fax: 423-296-6384
Mrs. Wendy Moreno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 40th St Unit 2225, Chattanooga, TN 37409 Phone: 486-486-0774
Brandon M Galloway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Old Ringgold Rd, Chattanooga, TN 37404 Phone: 423-266-6731
Melinda Clouse, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Spring St, Chattanooga, TN 37405 Phone: 423-756-2740
Miss Julia Derrille Flanagan, LPC MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1447 Vance Rd, Suite 106, Chattanooga, TN 37421 Phone: 423-499-4499 Fax: 423-499-4499
Kimberly Allen, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5726 Marlin Rd, Franklin Building, Suite 200, Chattanooga, TN 37411 Phone: 423-954-8890 Fax: 423-954-8880
Cynthia Bennett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Cumberland St, Suite A, Chattanooga, TN 37404 Phone: 423-266-6751 Fax: 423-763-4742

Kelley Rieder Klungland, LPC-MHSP - Medicare Counselor in Chattanooga, TN