NPIMap

Individual provider Active NPI

Lenell E Kelley, MAP BCBA LBA

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1487807921
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-05-1827
Practice address
2 Cityplace Dr Ste 200
Saint Louis, MO 63141-7055
Phone
(314) 626-0306
NPI assigned
Oct 28, 2008
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-05-1827 Primary

Addresses

Primary practice location

2 Cityplace Dr Ste 200
Saint Louis, MO 63141-7055

Mailing address

2 Cityplace Dr Ste 200
Saint Louis, MO 63141-7055
Phone (314) 626-0306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelley@developingmindsts.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lenell Kelley Current Accepting new patients
Developing Minds Therapy Services Inc. Behavior Analyst Current Accepting new patients

Locations

12166 Old Big Bend Rd
Ste 102
Saint Louis, MO 63122
Phone (314) 626-0306

2 Cityplace Dr
Ste 200
Saint Louis, MO 63141
Phone (314) 626-0306

Interoperability endpoints

  • Direct secure messaging: kelley@dmts.direct.myupdox.com

Organizations & group practices 2

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1487807921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CITYPLACE DR STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417055",
            "telephone_number": "314-626-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CITYPLACE DR STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417055",
            "telephone_number": "314-626-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LENELL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MAP BCBA LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0-05-1827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelley@developingmindsts.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "address_1": "2 Cityplace Dr Ste 200",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631417055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.