KELLEY ANN MACDOUGALL
NPI 1174844260
Counselor - Mental Health in West Roxbury, MA
NPI Status: Active since June 12, 2010
Contact Information
540 VFW PKWY
WEST ROXBURY, MA
ZIP 02132
Phone: (617) 325-2993
Fax: (617) 325-2994
- Individual
- Female
- Years of Experience 24
- Counselor
- Mental Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KELLEY MACDOUGALL
This page provides the complete NPI Profile along with additional information for Kelley Macdougall, a provider established in West Roxbury, Massachusetts with a medical specialization in Counselor, focusing in mental health and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1174844260 assigned on June 2010. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1174844260
- Provider Name
- KELLEY ANN MACDOUGALL
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 540 VFW PKWY WEST ROXBURY, MA 02132
- Location Phone
- (617) 325-2993
- Location Fax
- (617) 325-2994
- Mailing Address
- 540 VFW PKWY WEST ROXBURY, MA 02132
- Mailing Phone
- (617) 325-2993
- Mailing Fax
- (617) 325-2994
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2010
- Last Update Date
- 06-12-2010
- Code Navigator
A mental health counselor like Kelley Macdougall provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kelley Macdougall is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kelley Macdougall is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4688025893
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240111002186
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KELLEY ANN MACDOUGALL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 8 | 4 | 4 | 2 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 16 | 4 | 8 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 6 + 4 + 8 + 2 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1174844260 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548399876 | DR. GWEN H ZHANG DMD Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-4442 |
| 1982861001 | DR. GH ZHANG, ORTHODONTIST PC Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-4442 |
| 1538480629 | BRYNELL FRANCIS-SMIKLE MHC Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1821319906 | SILVIA M BRITO MSW Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1538480611 | ELIZABETH ANNE HILL GUARINO LCSW Individual | Social Worker (Clinical) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1720309800 | JODIE DOW-NOVAES MSW Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1275854358 | EUGENE DELOATCH SR. MFT Individual | Marriage & Family Therapist | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1316268493 | MARY BETH LEDOUX Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1467773549 | TOPE OLOTU MSW Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1093036170 | MARINA BREYDO MHC Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1629399738 | SONIE CYPRIEN Individual | Social Worker (Clinical) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1457672560 | MARLENE EDOUARD Individual | Social Worker (Clinical) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1366763476 | SILKE PLESCH Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1578884508 | WANDA MORALES-LANDING Individual | Counselor | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1922329044 | JASON PERRY KAPLAN Individual | Psychologist | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1437460995 | MARSIA HILL-KREAIME Individual | Social Worker (Clinical) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1073826343 | THOMAS LONG MSW Individual | Social Worker (Clinical) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1174837561 | AARON BELLER MSW Individual | Social Worker (Clinical) | 540 VFW PKWY STE 8 WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1730445966 | CHARLES DELOATCH JR. Individual | Counselor (Mental Health) | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
| 1649534652 | NANCY LYNNE IVES Individual | Psychologist | 540 VFW PKWY WEST ROXBURY, MA 02132 (617) 325-2993 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174844260, enumerated in the NPI registry as an "individual" on June 12, 2010
The provider is located at 540 Vfw Pkwy West Roxbury, Ma 02132 and the phone number is (617) 325-2993
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 12, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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