NPIMap

Organization Active NPI

Kelley & Kelley Counseling, Inc.

  • Professional Counselor
  • Tucson, AZ
National Provider Identifier
1376782482
Registry record updated Apr 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-11749 Issued in AZ
Legal business name
KELLEY & KELLEY COUNSELING, INC.
Practice address
4550 E Fifth Street
Tucson, AZ 85711
Phone
(520) 975-5305
Fax
(520) 838-8698
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2011

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

Authorized official

Name
Mr. John P Kelley, LPCNPI 1770876559
Title
President
Phone
(520) 403-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X LISAC-10666 AZ
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X LISAC-10167 AZ
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC-11749 AZ Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC-11795 AZ

Addresses

Primary practice location

4550 E Fifth Street
Tucson, AZ 85711

Mailing address

5546 W Tumbling F St
Tucson, AZ 85713-4453
Phone (520) 403-4100

Other identifiers 2

IdentifierTypeStateIssuer
LPC-11749OtherAZAZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
LPC-11795OtherAZAZ BOARD OF BEHAVIORAL HEALTH EXAMINERS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302307200000",
    "number": "1376782482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 W TUMBLING F ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857134453",
            "telephone_number": "520-403-4100",
            "fax_number": "520-838-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 E FIFTH STREET",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85711",
            "telephone_number": "520-975-5305",
            "fax_number": "520-838-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY & KELLEY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2011-04-09",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-403-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10666",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10167",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11749",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-11749",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-11795",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; 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.