Kelly O'Donnell Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015039713 Issued in MO

Legal business name

KELLY O'DONNELL COUNSELING, LLC

Practice address

456 N New Ballas Rd Ste 369
Saint Louis, MO 63141-6846

Phone

(314) 643-8224

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Kelly Beth O'Donnell, LCSW

Title

Licensed Clinical Social Worker

Phone

(314) 643-8224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1225570880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-643-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-643-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY O'DONNELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "314-643-8224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015039713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kellner, RN, BSN, IBCLC
• Cheryl A Kellogg
• Megan A Kellon, CRNA
• Amy Frances Kells, MD PHD
• Kelly Home Care Solutions LLC
• Kelly Zhou MSW, LLC
• Kathleen Patricia Kelly-Dishno, M.ED., LPC
• Alyxandrea Marie Kelly, PMHNP
• Amanda Kelly
• Brian Adams Kelly, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.