Donald Patrick Kelley, L.C.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1453-LCPC Issued in MT

Practice address

1714 S Reserve St
Missoula, MT 59801-4752

Phone

(406) 239-0167

NPI assigned

Dec 28, 2009

Last updated

Dec 28, 2009By the provider in NPPES

Sex

Male

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

Enrolled in MT

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

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1235469123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014752",
            "telephone_number": "406-239-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014752",
            "telephone_number": "406-239-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DONALD",
        "middle_name": "PATRICK",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1453-LCPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Keith
• Amber Keith, LPC
• Alan Dale Keithley, D.C.
• Denise Christine Kelley, MD
• Deserie Bonnie Kelley
• Kathleen Kelley, DPT
• Elizabeth Laurel Kellogg, RD, LN
• Morgan Samuel Kellogg, MD
• Clare Kelly, MD
• Kodi Kelly, LMT

• Professional Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.