Active NPI
Kellie Dneace Jett
- Professional Counselor
- Georgetown, TX
National Provider Identifier
1083438329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3003 Dawn Dr Ste 101
Georgetown, TX 78628-2800 - Phone
- (512) 688-4303
- Fax
- (254) 598-2537
- NPI assigned
- Nov 13, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3003 Dawn Dr Ste 101
Georgetown, TX 78628-2800
Mailing address
5293 S 31St St Ste 137
Temple, TX 76502-3575
Phone (254) 228-5830
Other names 1
- Kellie Dneace Ramsey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shepherds New Pathways, LLC | Professional | Current | Accepting new patients |
| The Shepherds New Pathways, LLC | Professional | Current | Accepting new patients |
Locations
3003 Dawn Dr
Ste 101
Georgetown, TX 78628
Phone (254) 228-5830
5293 S 31st St
Ste 137
Temple, TX 76502
Phone (254) 228-5830
Organizations & group practices 2
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.
-
- Professional Counselor
- Temple, TX
- NPI 1356779706
-
- Professional Counselor
- Georgetown, TX
- NPI 1841813003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1083438329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5293 S 31ST ST STE 137",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023575",
"telephone_number": "254-228-5830",
"fax_number": "254-598-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 DAWN DR STE 101",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786282800",
"telephone_number": "512-688-4303",
"fax_number": "254-598-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETT",
"first_name": "KELLIE",
"middle_name": "DNEACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLIE",
"last_name": "RAMSEY",
"middle_name": "DNEACE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.