Kelley Dyer LCSW Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KELLEY DYER LCSW INC.

Practice address

4793 N Splendid Cir
Colorado Springs, CO 80917-1681

Phone

(719) 924-5776

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Kelley Dyer, LCSWNPI 1679974000

Title

Founder

Phone

(719) 429-0335

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Elizabeth Dyer, MSW

  • Social Worker
  • Fort Collins, CO
  • NPI 1679974000
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1558970889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4793 N SPLENDID CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4793 N SPLENDID CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171681",
            "telephone_number": "719-924-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY DYER LCSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "719-429-0335",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Keller, OTR/L
• Robert G Keller, MD
• Taya Suzanne Keller, LCSW, LAC
• Tracie E Keller, DDS
• Jessica Heather Kellett, N.P.
• Adrian Kelley
• Alexandra Kelley
• Alisha Kelley
• Allyson Kelley
• Carol Lee Kelley, OD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.