Individual provider Active NPI

Kelli Reddecliff Marteney, MA, PSYCHOLOGY

  • Counselor
  • Parkersburg, WV
National Provider Identifier
1215499702
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2121 7TH Street
Parkersburg, WV 26101-3803
Phone
(304) 485-1721
Fax
(304) 424-9424
NPI assigned
Apr 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2121 7TH Street
Parkersburg, WV 26101-3803

Mailing address

2121 7TH Street
Parkersburg, WV 26101-3803
Phone (304) 485-1721

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1215499702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 7TH STREET",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013803",
            "telephone_number": "304-485-1721",
            "fax_number": "304-424-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 7TH STREET",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013803",
            "telephone_number": "304-485-1721",
            "fax_number": "304-424-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENEY",
        "first_name": "KELLI",
        "middle_name": "REDDECLIFF",
        "credential": "MA, PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.