Kelley S. Sims, LMFT
Individual provider Active NPI Marriage & Family Therapist · Odessa, MO
NPI 1013419043 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1013419043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2010017652 (MO)
- Practice address
- 1278 W US Highway 40
Odessa, MO 64076-9612 - Phone
- (888) 403-1071
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010017652 | MO | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2010017652 | MO | Yes |
Addresses
Primary practice location
1278 W US Highway 40
Odessa, MO 64076-9612
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other providers in Odessa, MO
- Stephan Louis Schowengerdt
- Suzan R Schuetz
- Serc of Odessa Inc
- Serc Rehabilitation Partners, LLC
- Ellie Severance
- Julie Anna Smith
- Mallory Lynn Steffen
- Elizabeth Stephenson
- Lauren M Stephenson
- Jayneen Stigall
All providers in Odessa, MO · Marriage & Family Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.