Kacie Jay Kelso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5515 Shelby Oaks Dr
Memphis, TN 38134-7316

Phone

(901) 252-4600

NPI assigned

Feb 9, 2007

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

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508907981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 LYTLE CIRCLE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 SHELBY OAKS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347316",
            "telephone_number": "901-252-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "KACIE",
        "middle_name": "JAY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayna Kelly, MD
• Linda Faye Kelly, FNP
• Sandra Lynn Kelly, DTR
• Willie Faye Kelly, NP
• Haley Kelso, BCBA
• Goodloe Malone Keltner Jr., D.D.S.
• Kem'S House Inc.
• Ben B Kemker, D.C.
• Ashley Sharnelle Kemp
• Gregory Carroll Kemp, D.D.S.

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.