Josephine May Kelly, MA

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PYO1352 Issued in MO

Practice address

6 Jungermann Cir
Suite 203
Saint Peters, MO 63376-1621

Phone

(636) 939-4247

NPI assigned

Dec 22, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629132519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 203",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-939-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 203",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-939-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOSEPHINE",
        "middle_name": "MAY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "PYO1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "102105",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "113437",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keeton Vision Care Inc
• Diane Keeven, P. T.
• Kathleen Kehoe
• Molly Kathleen Kellett, M.S. CCC-SLP
• Khristian Kellum, DC
• Grace Anne Keltner, N.P
• Tabitha Kennedy Sleeper, APRN,MSN, PMHNP
• Devin Dwane Kersting, RPH
• Matt Kessler
• Alyssa Keune

• Counseling Psychologist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Counseling Psychologist in Missouri

• 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.
• 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.