Kelley Frazier

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT000729 Issued in GA

Practice address

326 Myrtle Crossing Dr Ste 200
Statesboro, GA 30458-4689

Phone

(239) 560-5473

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1013667914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WINNIE WAY",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304156269",
            "telephone_number": "239-560-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MYRTLE CROSSING DR STE 200",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584689",
            "telephone_number": "239-560-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KELLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT000729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Statesboro",
            "affiliation": "N",
            "endpointDescription": "Private Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "326 Myrtle Crossing Dr Ste 200",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304584689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latoya Dominique Forsythe, DPT
• Scott Ashley Fouch, PA-C
• Camille H Fox
• Alexandria Franklin
• Andrea Bird Franklin, CRNA
• Jessica Adrienne French, C.P.N.P.
• Fresh Start Counseling Services
• Frontline Internal Medicine LLC
• Mai Fujimoto
• Courtney Fuller, PMHNP-BC

• All providers in Statesboro, GA
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.