Kelsey Raymond LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KELSEY RAYMOND LLC

Practice address

11725 Arbor St
Omaha, NE 68144-2974

Phone

(402) 403-9327

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey Raymond, LMHPNPI 1134575996

Title

Owner

Phone

(402) 403-9327

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelsey Lenea Raymond, LIMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1134575996
  Authorized official Same address or phone

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1376195701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442974",
            "telephone_number": "402-403-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442974",
            "telephone_number": "402-403-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY RAYMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-403-9327",
        "authorized_official_credential": "LMHP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kraymond@collaborativecounselingctr.com",
            "affiliation": "N",
            "address_1": "11725 Arbor St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681442974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Kelly
• Terry Kelly
• Toni R Kelly
• Stephanie Leeann Kelnhofer
• Kelsey Periodontal Group, LLC
• Cindy Sue Kelsey, RN
• Mary Nan Kelsey IV, D.D.S.
• Matthew Ryan Kelsey, D.D.S., M.S.
• Sara Jeannette Kelsey, RD, LMNT
• Tiffani L Kelsey

• Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.