Kollettia Kelly, LPC in Cos Cob, CT - Medicare Counselor Provider

Kollettia Kelly, LPC is a medicare enrolled "Counselor - Professional" provider in Cos Cob, Connecticut. Her current practice location is 45 Valley Rd, Cos Cob, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 832-7024.

Kollettia Kelly is licensed to practice in Connecticut (license number 46.005903) 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 1659098317.

Contact Information

	Kollettia Kelly, LPC
	45 Valley Rd, Cos Cob, CT 06807-2530
	(203) 832-7024
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kollettia Kelly
Gender	Female
Speciality	Counselor - Professional
Location	45 Valley Rd, Cos Cob, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659098317
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 2668824657
Enrollment ID: I20240116000160

Medical Identifiers

Medical identifiers for Kollettia Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659098317	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	46.005903 (Connecticut)	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. Kollettia Kelly allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200330002193

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. Kollettia Kelly 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
Kollettia Kelly, LPC 372 Danbury Rd, Wilton, CT 06897-2548 Ph: () -	Kollettia Kelly, LPC 45 Valley Rd, Cos Cob, CT 06807-2530 Ph: (203) 832-7024

Reviews and Comments

Counselor in Cos Cob, CT

Barbara Whitton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 E Putnam Ave Ste 26a, Cos Cob, CT 06807 Phone: 203-246-5630
Mrs. Jill V. Tesei, A.P.R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 399 East Putnam Ave., 2nd Floor Suite 1, Cos Cob, CT 06807 Phone: 203-906-6016
Mr. Kevin Allan Root, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 East Putnam Ave, Cos Cob, CT 06807 Phone: 203-622-7406 Fax: 203-637-8590
Victoria Ryan, L.AC., LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 E Putnam Ave # 2c, Cos Cob, CT 06807 Phone: 203-441-1228
Mrs. Elizabeth A. O'brien, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 E Putnam Ave, Cos Cob, CT 06807 Phone: 914-393-1202 Fax: 914-773-1577
Ms. Pamela Gail Sperling, MA, EDM, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 E Putnam Ave, 2 East, Cos Cob, CT 06807 Phone: 203-892-5867 Fax: 203-769-1715

Kollettia Kelly, LPC - Medicare Counselor in Cos Cob, CT