Active NPI
Kayla Jean Kelley, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Coal Grove, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3015926
- Practice address
- 225 Carlton Davidson LN
Coal Grove, OH 45638-2924 - Phone
- (740) 533-6280
- Fax
- (740) 353-1662
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3015926 | KY | Primary |
Addresses
Primary practice location
225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Mailing address
901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210420001215 | OH | Practitioner - Nurse Practitioner | 5890103782 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shawnee Mental Health Center Inc
Practice addresses (Care Compare)
225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Phone (740) 533-0648
Hospital & facility affiliations
- Southern Ohio Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mental Health Center, Inc. | Current | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Current | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Past | Accepting new patients | |
| Ovp Health Care Inc | Past | Accepting new patients | |
| Ovp Health Care Inc | Past | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Past | Accepting new patients | |
| Ohio Valley Physicians Inc | Past | Accepting new patients | |
| Shawnee Mental Health Center, Inc. | Past | Accepting new patients |
Locations
225 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 354-7702
901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702
192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581
Interoperability endpoints
- kayla.kelley.p1@direct.shawneemhc.nextgenshare.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, OH
- NPI 1336173236
OH
-
- Community/Retail Pharmacy
- Portsmouth, OH
- NPI 1992524045
-
- Federally Qualified Health Center (FQHC)
- Portsmouth, OH
- NPI 1063982924
-
- Federally Qualified Health Center (FQHC)
- West Union, OH
- NPI 1750851622
-
- Federally Qualified Health Center (FQHC)
- Coal Grove, OH
- NPI 1225508195
-
- Substance Abuse Rehabilitation Facility
- South Point, OH
- NPI 1750776068
-
- Federally Qualified Health Center (FQHC)
- Proctorville, OH
- NPI 1063190510
-
- Federally Qualified Health Center (FQHC)
- Gallipolis, OH
- NPI 1114798964
-
- Clinic/Center
- Portsmouth, OH
- NPI 1730682733
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1013594332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WASHINGTON ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456623944",
"telephone_number": "740-354-7702",
"fax_number": "740-353-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CARLTON DAVIDSON LN",
"city": "COAL GROVE",
"state": "OH",
"postal_code": "456382924",
"telephone_number": "740-533-6280",
"fax_number": "740-353-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "KAYLA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3015926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coal Grove, OH
- Ironton & Lawrence County Area Community Action Organization
- Ironton & Lawrence County Area Community Action Organization
- Lisa Jackson, LSW
- Kelly Jenkins, PEER SUPPORTER
- Ian Jennings, CDCA.193079
- Patrick C Kelley, LCDCIII, QMHS
- Charles Kerns, CDCAPRE.195369
- Stacey Klaiber, LPN
- Elizabeth Lambiotte, MA, CCC-SLP
- Lawrence County Board of Mental Retardation Development Disabilities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.