KELLY J KIVEL (LPCC, LPC) – Professional Counselor, NPI 1134565278

KELLY J KIVEL (LPCC, LPC) is a healthcare provider. based in New richmond, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC, LPC. They hold a License No. 856226 (WI). The NPI Number for KELLY J KIVEL (LPCC, LPC) is 1134565278

Main info

Female
17 Years Of Experience
Name
KELLY J KIVEL (LPCC, LPC)
NPI
1134565278
Phone
(715) 246-4840
Address
1477 S KNOWLES AVE STE 130
Enumeration Date
16 May 2013
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122685858
Graduation Year
2009 (17 years ago)
PAC ID
8325498876
Group Practice PAC ID
0749528552
Professional Enrollment ID
I20231222002746
Address ID
MN551245511AP7601XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for KELLY J KIVEL (LPCC, LPC)

  • 1477 S KNOWLES AVE STE 130

    NEW RICHMOND, WI 540172568

    Phone: (715) 246-4840

    Type: Mailing

  • 15265 CARROUSEL WAY

    ROSEMOUNT, MN 550681760

    Phone: (952) 443-4600

    Type: Mailing

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: 2023-12-22

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
I20231222002746IMental Health CounselorMNTBD

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 54017)

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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: 0749528552View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

Where can patients find KELLY J KIVEL (LPCC, LPC)'s NPI?
You can confirm KELLY J KIVEL (LPCC, LPC) with NPI 1134565278; it appears in the national provider directory.
Is KELLY J KIVEL (LPCC, LPC) active in the national directory?
KELLY J KIVEL (LPCC, LPC)'s public NPI profile is in an active state.
What kind of provider is KELLY J KIVEL (LPCC, LPC)?
The page reflects Professional Counselor for KELLY J KIVEL (LPCC, LPC). Clinical services aligned with this taxonomy classification.
Where does public data place KELLY J KIVEL (LPCC, LPC)?
The snapshot lists New Richmond, Wisconsin for KELLY J KIVEL (LPCC, LPC); download NPPES for the complete set.
What if New Richmond, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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