Kelly Ann Banks

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

83140 Issued in TX

Practice address

1101 Ridge Rd # St227
Rockwall, TX 75087-4250

Phone

(214) 864-3116

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Human Kind Wellness, LLC

  • Community/Behavioral Health Agency
  • Rockwall, TX
  • NPI 1609448430
  NPD

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1497328488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD STE 227",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RIDGE RD # ST227",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874250",
            "telephone_number": "214-864-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Bakos
• Eyerusalem A Balaker
• Bana Medical Transport LLC
• Joben Samson Banan, FNP-C
• Julienne Banan, PHARMD
• Barker Bariatric Center of Rockwall, LLP
• Luke D Barlow, DC
• Alexis Barr
• Howard Barrett, DPT
• Latesha Barrett

• Professional Counselor in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.