EMILY KELLY – Counselor, NPI 1992158604

EMILY KELLY is a healthcare provider. based in West hartford, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 003551 (CT). The NPI Number for EMILY KELLY is 1992158604

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
EMILY KELLY
NPI
1992158604
Phone
(860) 574-6885
Address
1170 NEW BRITAIN AVE
Enumeration Date
18 July 2016
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035101002
Graduation Year
2016 (10 years ago)
PAC ID
7911449996
Group Practice PAC ID
3678804879
Professional Enrollment ID
I20240605002199
Address ID
CT060104926BR225XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for EMILY KELLY

  • 1170 NEW BRITAIN AVE

    WEST HARTFORD, CT 061102410

    Phone: (860) 574-6885

    Type: Mailing

  • 225 N MAIN ST STE 80

    BRISTOL, CT 060104926

    Phone: (413) 285-3274

    Type: Mailing

  • 225 N MAIN ST STE SUITE80

    BRISTOL, CT 060104926

    Phone: (860) 506-7905

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240605002199IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678804879View full group profile
NameSpecialtyState
Mental Health CounselorCA
Clinical Social WorkerCT
Clinical Social WorkerCT

Reviews

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Frequently asked questions

What is the registry number for EMILY KELLY?
The registry entry for EMILY KELLY shows NPI 1992158604.
Does the public listing show EMILY KELLY as active?
EMILY KELLY's NPI record reflects an active status in NPPES.
What does the directory say EMILY KELLY does?
Insurance directories may phrase it differently, but here EMILY KELLY maps to Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EMILY KELLY?
EMILY KELLY is associated with West Hartford, Connecticut in the same public data insurers reference.
Why is information missing for EMILY KELLY?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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