Active NPI
Alice Kelly, LMFT
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1346981511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203732
- Practice address
- 12148 Jollyville Rd Apt 1301
Austin, TX 78759-2240 - Phone
- (504) 270-3834
- NPI assigned
- Apr 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203732 | TX | Primary |
Addresses
Primary practice location
12148 Jollyville Rd Apt 1301
Austin, TX 78759-2240
Mailing address
12148 Jollyville Rd Apt 1301
Austin, TX 78759-2240
Phone (504) 270-3834
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203732 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1346981511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12148 JOLLYVILLE RD APT 1301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592240",
"telephone_number": "504-270-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12148 JOLLYVILLE RD APT 1301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592240",
"telephone_number": "504-270-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ALICE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-04",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.