Kelly D Bellamy

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6120 Issued in TX

Practice address

4000 Shiver Rd
Fort Worth, TX 76244-8635

Phone

(817) 791-7467

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1114824265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SHIVER RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448635",
            "telephone_number": "817-791-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHIVER RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448635",
            "telephone_number": "817-791-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "KELLY",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Vida Counseling
• Christopher Garth Bellah, PHD
• Lisa Danielle Bellah, PH.D.
• Bellaire Outpatient Surgery Center, LLP (Baylor Scott & White Surgicare - Oakmont)
• Bryan Bellamy
• Pavani Bellary, D.O.
• Bellehaven Care PLLC
• Ryan James Bellinger
• Kaila Bellinghausen, MS, LPC, RPT
• Elizabeth Nichole Bellows, FNP-C

• Addiction (Substance Use Disorder) Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.