Kelli Savannah Charleston, LPC

Individual provider Active NPI Mental Health Counselor · Monett, MO

NPI 1316618796 · NPPES record last updated Sep 24, 2021

Key facts

NPI: 1316618796
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 2008025261 (MO)
Practice address: 1701 N Central Ave
Monett, MO 65708-6570
Phone: (417) 476-1000
NPI assigned: Sep 24, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Clark Community Mental Health Center Community/Behavioral Health Agency · Monett, MO · NPI 1801807771

NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2008025261	MO	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Clark Community Mental Health Center	Mental Health	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	2008025261	MO	Yes

Addresses

Primary practice location

1701 N Central Ave
Monett, MO 65708-6570

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1013

Other providers in Monett, MO

All providers in Monett, MO · Mental Health Counselor in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.