Keely Kelley, MS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

104 E Carl Albert Pkwy
McAlester, OK 74501-5092

Phone

(918) 423-0220

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quest MhsaGroup PAC ID 4688943657, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quest Mhsa

  • Community/Behavioral Health Agency
  • Antlers, OK
  • NPI 1174776819
  Medicare reassignment Care Compare group NPD
• RWL, LLC

  dba Our Community Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McAlester, OK
  • NPI 1184496911
  NPD Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1538740451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BATTLES RD",
            "city": "KIOWA",
            "state": "OK",
            "postal_code": "745535096",
            "telephone_number": "918-916-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E CARL ALBERT PKWY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015092",
            "telephone_number": "918-423-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KEELY",
        "credential": "MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oklahomacc.con",
            "affiliation": "N",
            "address_1": "104 E Carl Albert Pkwy",
            "city": "McAlester",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745015092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Oklahomacc.com",
            "affiliation": "N",
            "address_1": "104 E Carl Albert Pkwy",
            "city": "McAlester",
            "state": "OK",
            "country_code": "US",
            "postal_code": "745015092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal Keener
• Brenda Kelley
• Cheryl R Kelley
• Dannie Kelley
• Doris June Kelley
• Richard Don Kelley
• Linda Carel Kellum, MHR/BHRS
• Carissa Kemp, LPC
• Cindy J Kemp
• Jason Kemp, LPN

• Mental Health Counselor in McAlester, OK
• Providers in McAlester, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.