Organization Active NPI

Kellys Home Therapy Services, LLC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1497124069
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67777 Issued in TX
Legal business name
KELLYS HOME THERAPY SERVICES, LLC
Practice address
308 Oak Harbor Dr
Houston, TX 77062-2527
Phone
(281) 309-1981
Fax
(832) 284-4732
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Authorized official

Name
Donna Kelly, LPCNPI 1316296080
Title
Therapist/Owner
Phone
(281) 309-1981

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 67777 TX Primary

Addresses

Primary practice location

308 Oak Harbor Dr
Houston, TX 77062-2527

Mailing address

308 Oak Harbor Dr
Houston, TX 77062-2527
Phone (281) 309-1981

Other identifiers 1

IdentifierTypeStateIssuer
3094732-02MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1497124069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 OAK HARBOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622527",
            "telephone_number": "281-309-1981",
            "fax_number": "832-284-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 OAK HARBOR DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622527",
            "telephone_number": "281-309-1981",
            "fax_number": "832-284-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYS HOME THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "281-309-1981",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3094732-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.