Audrena R Kelley, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59582 Issued in TX

Practice address

3421 San Lucas LN
Denton, TX 76208-6074

Phone

(765) 631-3292

NPI assigned

Jun 28, 2022

Last updated

Apr 19, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grateful Heart Counseling PLLCGroup PAC ID 7012405962, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• For You I Will Services & Consulting PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denton, TX
  • NPI 1871322040
  Medicare reassignment NPD Authorized official
• Grateful Heart Counseling, PLLC

  • Mental Health Counselor
  • Justin, TX
  • NPI 1407692650
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1184356057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 SAN LUCAS LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086074",
            "telephone_number": "765-631-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 SAN LUCAS LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086074",
            "telephone_number": "765-631-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "AUDRENA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "59582",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ray Keefer, AGACNP-BC
• Christina M Keil, NP
• Unsil K Keiser, DDS
• Fatoumata Keita
• Kathryn Keller, LPC
• Kellie Garcia Counseling Services, LLC (Soleil Counseling Services)
• Kelly J Fox LLC
• Amelia Lee Kelly
• Liam Kelly, MS, LPC-ASSOCIATE
• Syeda Farwa Zehra Kelly, BCBA

• Clinical Social Worker in Denton, TX
• Providers in Denton, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.

Verify at the official NPI Registry.