Krystal Kelly, LPC in Bloomfield, CT - Medicare Counselor Provider

Krystal Kelly, LPC is a medicare enrolled "Counselor - Professional" provider in Bloomfield, Connecticut. Her current practice location is 1 Regency Dr Ste 101, Bloomfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 905-4776.

Krystal Kelly is licensed to practice in Connecticut (license number 004885) 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 1821753658.

Contact Information

	Krystal Kelly, LPC
	1 Regency Dr Ste 101, Bloomfield, CT 06002-2310
	(860) 905-4776
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krystal Kelly
Gender	Female
Speciality	Counselor - Professional
Location	1 Regency Dr Ste 101, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821753658
Provider Enumeration Date: 11/06/2021
Last Update Date: 07/03/2026

Medicare PECOS Information:

PECOS PAC ID: 4183158710
Enrollment ID: I20241105002720

Medical Identifiers

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

Identifier	Type	State	Issuer
1821753658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	004885 (Connecticut)	Secondary
101YM0800X	Counselor - Mental Health	004885 (Connecticut)	Secondary
101YP2500X	Counselor - Professional	004885 (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. Krystal Kelly allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

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. Krystal 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
Krystal Kelly, LPC 27 Holmes Dr, Windsor, CT 06095-3969 Ph: (860) 778-5015	Krystal Kelly, LPC 1 Regency Dr Ste 101, Bloomfield, CT 06002-2310 Ph: (860) 905-4776

Reviews and Comments

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Krystal Kelly, LPC - Medicare Counselor in Bloomfield, CT