Organization Active NPI

Kiley Ellegard, PLLC

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1528476967
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5259 Issued in OK
Legal business name
KILEY ELLEGARD, PLLC
Practice address
14001 McAuley Blvd
Suite 240
Oklahoma City, OK 73134-7004
Phone
(405) 229-9514
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Kiley Ellegard, MA, LPC
Title
Owner/Clinician
Phone
(405) 229-9514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5259 OK Primary

Addresses

Primary practice location

14001 McAuley Blvd
Suite 240
Oklahoma City, OK 73134-7004

Mailing address

14001 McAuley Blvd
Suite 240
Oklahoma City, OK 73134-7004

National Provider Directory

National Provider Directory

Locations

14001 McAuley Blvd
Ste 240
Oklahoma City, OK 73134
Phone (405) 229-9514

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1528476967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 MCAULEY BLVD",
            "address_2": "SUITE 240",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 MCAULEY BLVD",
            "address_2": "SUITE 240",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731347004",
            "telephone_number": "405-229-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILEY ELLEGARD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "ELLEGARD",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "405-229-9514",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.