KELLI BASTIAANSE
NPI 1730476870
Counselor - Mental Health in Bristol, CT

NPI Status: Active since July 08, 2011

Contact Information

29 WINDHAM RD
BRISTOL, CT
ZIP 06010
Phone: (860) 331-1854

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • PECOS Enrolled

About KELLI BASTIAANSE

This page provides the complete NPI Profile along with additional information for Kelli Bastiaanse, a provider established in Bristol, Connecticut with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1730476870 assigned on July 2011. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1730476870
Provider Name
KELLI BASTIAANSE
Gender
Female
Entity Type
Individual
Location Address
29 WINDHAM RD BRISTOL, CT 06010
Location Phone
(860) 331-1854
Mailing Address
29 WINDHAM RD BRISTOL, CT 06010
Mailing Phone
(860) 331-1854
Is Sole Proprietor?
Yes
Enumeration Date
07-08-2011
Last Update Date
07-08-2011
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A mental health counselor like Kelli Bastiaanse 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.

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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

Medicare Participation & PECOS Enrollment Status

Kelli Bastiaanse 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

  • 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

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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.
1730476870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27608712814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 8 + 7 + 1 + 2 + 8 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1730476870 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922230671MR. MATTHEW J BASTIAANSE LMFT
Individual
Marriage & Family Therapist29 WINDHAM RD
BRISTOL, CT 06010
(860) 261-5367

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730476870, enumerated in the NPI registry as an "individual" on July 08, 2011

The provider is located at 29 Windham Rd Bristol, Ct 06010 and the phone number is (860) 331-1854

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

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 July 08, 2011. 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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