Kelly Otp LLC
NPI 1265150767 · Methadone Clinic · Roseville, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Otp LLC is a Methadone Clinic organization in Roseville, MI (NPI 1265150767).
Provider details
- NPI number
- 1265150767
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aaron Alston, Pratice Administrator(248) 971-0150
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Frequently asked questions
- What is Kelly Otp LLC's NPI number?
- Kelly Otp LLC's National Provider Identifier (NPI) is 1265150767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly Otp LLC?
- Kelly Otp LLC is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Kelly Otp LLC located?
- Kelly Otp LLC's practice location on file with NPPES is 25200 Kelly Rd, Roseville, MI 48066-4473.
- What is Kelly Otp LLC's phone number?
- The practice phone number listed in the NPPES registry for Kelly Otp LLC is (586) 422-1250.
- Does Kelly Otp LLC accept Medicare?
- Kelly Otp LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kelly Otp LLC?
- The authorized official listed on Kelly Otp LLC's NPPES record is Aaron Alston, Pratice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly Otp LLC's NPI active?
- Yes — Kelly Otp LLC's NPI (1265150767) is active in the NPPES registry as of the last update on 2023-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.