Kelly Marie Doty, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1089 Tracy LN
Chico, CA 95926-1449

Phone

(530) 519-5211

NPI assigned

Jun 21, 2021

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

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayfinder Family Services

  • Community/Behavioral Health Agency
  • Chico, CA
  • NPI 1104492875
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1629647052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 RIO LINDO AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261973",
            "telephone_number": "530-519-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 TRACY LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261449",
            "telephone_number": "530-519-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunchok Dorjee, M.D.
• Clara Jennifer Fawn Dorman
• Kevin Richard Dorsey-Tyler, M.D., PH.D.
• Navjit Dosanjh
• Anton Robert Dotson, MD
• Douglas Garrison, DO
• Douglas R. Myers, O.D., Inc.
• Timothy Dove
• Toby Connor Dowd
• Keri Dowell, RN, IBCLC

• Mental Health Counselor in Chico, CA
• Providers in Chico, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.