Jacquelynne Kell

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2015044822 Issued in MO

Practice address

629 W Walnut St
Springfield, MO 65806-2045

Phone

(417) 409-2054

NPI assigned

May 5, 2014

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

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1093125650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD",
            "address_2": "SUITE 310",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774039",
            "telephone_number": "301-345-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W WALNUT ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062045",
            "telephone_number": "417-409-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16220 Frederick Rd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208774039",
            "country_code": "US",
            "telephone_number": "301-345-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELL",
        "first_name": "JACQUELYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2015044822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Clay Keeney, MA, LPC
• Ross Keesling, MD
• Austin B Kelbaugh, LPC
• Jean Marie Kelchen, MD
• Gary A Kell, MD
• Aleshia Michelle Kellen, WHNP
• Jeri Keller, M.D.
• Joseph Keller, M.D.
• Julie C Keller, R.PH.
• Veronica K Keller, MS, CCC-SLP

• Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.