Individual provider Active NPI

Kayla Alexandria Pelfrey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1417520206
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29687 Issued in OH
Practice address
130 Rolling Meadows Dr
Chillicothe, OH 45601-4083
Phone
(740) 357-5343
NPI assigned
Jul 20, 2021
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021037099 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29687 OH Primary

Addresses

Primary practice location

130 Rolling Meadows Dr
Chillicothe, OH 45601-4083

Mailing address

130 Rolling Meadows Dr
Chillicothe, OH 45601-4083
Phone (740) 357-5343

Other identifiers 2

IdentifierTypeStateIssuer
0027719MedicaidOH
0464836MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021037099OHMDPsychiatric/Mental Health Nurse Practitioner
29687OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Mental Wellness Group, LLC Single Specialty CurrentSince Mar 3, 2024 Accepting new patients
Mares Cares Family Medicine, LLC PastSince May 1, 2022 Accepting new patients
Serenity Wellness Center Single Specialty Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1417520206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROLLING MEADOWS DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014083",
            "telephone_number": "740-357-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ROLLING MEADOWS DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456014083",
            "telephone_number": "740-357-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELFREY",
        "first_name": "KAYLA",
        "middle_name": "ALEXANDRIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "2021037099",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "29687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027719",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.