KELLY JEAN PICKERING (LPC, CMHC) – Mental Health Counselor, NPI 1972049450
Mental Health Counselor
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
356 MENTAL HEALTH COUNSELOR in UT
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Provider Addresses for KELLY JEAN PICKERING (LPC, CMHC)
1102, North 300 East, Centerville, Davis County, Utah, 84014, United States
CENTERVILLE, UT 840141530
Phone: (801) 823-4411
Type: Mailing
104, West 300 South, Bountiful, Davis County, Utah, 84010, United States
BOUNTIFUL, UT 840106250
Phone: (801) 823-4411
Type: Location
5401 SW 7TH ST
TOPEKA, KS 666062330
Phone: (785) 273-2252
Fax: (785) 273-7489
Type: Mailing
330 SW OAKLEY AVE
TOPEKA, KS 666061995
Phone: (785) 273-2252
Fax: (785) 273-7489
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: 2025-04-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250403003317 | I | Mental Health Counselor | KS | TBD |
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.
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 84014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | KS | |
| Clinical Social Worker | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| - | KS |
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