Joan Kelley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

174609 Issued in MN

Practice address

1025 Dodd Rd
Saint Paul, MN 55118-1113

Phone

(651) 450-2220

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346465697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 CAMBRIDGE ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165117",
            "telephone_number": "952-913-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DODD RD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551181113",
            "telephone_number": "651-450-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "174609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPRP",
            "identifier": "174609",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis D Keller, MD
• Kyle Keller
• Nicholas Keller, LICSW
• Stephannie L Keller
• Britni Kelley, MA
• Marianne P Kelley, PSYD LP
• Margaret B Kellogg, M.A., L.P.
• Amy Marie Kelly, M.D.
• Brittany Rae Kelly, PA-C
• Candice Marie Kelly, RN

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.