Kelly Carson Souza, PSY D
NPI 1518005313ActiveIndividual· Psychologist, Clinical· Castle Pines, CO
Opted out of Medicare from October 2024 to October 2028. Psychologist, Clinical (PSY D) in Castle Pines, Colorado, licensed in CO and CA, with an NPI issued in February 2007.
Overview
| NPI | 1518005313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY D |
| Sole proprietor | Yes |
| NPI issued | Feb 2, 2007 |
| Last updated in NPPES | Feb 1, 2022 |
| Certified by provider | Feb 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 0005475 | CO |
| Marriage & Family Therapist | 106H00000X | IMF50814 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 4, 2024 – Oct 4, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other clinical psychologists in Castle Pines
- 1013172758
- 1477676054