Kelly Marie Kelso, MS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

90379 Issued in TX

Practice address

5209 Saddle Ridge TRL
San Angelo, TX 76904-7267

Phone

(806) 367-2220

NPI assigned

Feb 12, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1417809229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 SADDLE RIDGE TRL",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047267",
            "telephone_number": "806-367-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 SADDLE RIDGE TRL",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047267",
            "telephone_number": "806-367-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90379",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "90379",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "90379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Paige Keele
• Ilda Lombardi Keenum, LVN
• Kelly K. Sawyer, D.D.S., P.a.
• Diana L Kelly, PMHNP-BC
• Jill Lea Kelso, RPH
• Brandt Kephart
• Amanda Kern, PHARMD
• Cassandra Key
• Mallory Ann Khantharasy, M.S., CCC-SLP
• Karuna Khatri, MD

• Counselor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.