MS. SUSAN R KELLEY (M.ED.) – Mental Health Counselor, NPI 1093844193

MS. SUSAN R KELLEY (M.ED.) is a healthcare provider. based in Falmouth, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED.. They hold a License No. PENDING (MA). The NPI Number for MS. SUSAN R KELLEY (M.ED.) is 1093844193

Main info

Female
22 Years Of Experience
Name
MS. SUSAN R KELLEY (M.ED.)
NPI
1093844193
Phone
(508) 540-3363
Address
128 LOCUST ST
Enumeration Date
5 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7742550635
Graduation Year
2004 (22 years ago)
PAC ID
0840713384
Group Practice PAC ID
3678943826
Professional Enrollment ID
I20250326000286
Address ID
MA026493121MA400XXHWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for MS. SUSAN R KELLEY (M.ED.)

  • 128 LOCUST ST

    FALMOUTH, MA 025402659

    Phone: (508) 540-3363

    Type: Mailing

  • 200 TER HEUN DR

    FALMOUTH, MA 025402525

    Phone: (508) 540-6550

    Fax: (508) 540-7480

    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: 2025-03-26

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
I20250326000286IMental Health CounselorMATBD

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 02540)

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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: 3678943826View full group profile
NameSpecialtyState
Clinical Social WorkerMA

Reviews

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Frequently asked questions

How is MS. SUSAN R KELLEY (M.ED.) identified in CMS data?
CMS-hosted NPPES data lists MS. SUSAN R KELLEY (M.ED.) with NPI 1093844193.
Does CMS list MS. SUSAN R KELLEY (M.ED.) as active?
Yes — MS. SUSAN R KELLEY (M.ED.) is active in the NPI listing used on this page.
What is MS. SUSAN R KELLEY (M.ED.)'s primary classification?
Mental Health Counselor is the headline specialty for MS. SUSAN R KELLEY (M.ED.) here. Clinical services aligned with this taxonomy classification.
Does MS. SUSAN R KELLEY (M.ED.) list a practice location?
Patients near Falmouth, Massachusetts may find MS. SUSAN R KELLEY (M.ED.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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