Jeannette Marie Kelly, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

546 LCPC Issued in MT

Practice address

900 N Jackson St
Center for Mental Health
Helena, MT 59601-3428

Phone

(406) 443-7151

Fax

(406) 443-3420

NPI assigned

Jul 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Great Falls, MT
  • NPI 1144251885
  NPD (past)
• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328

  Professional

  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659385490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 VALLEY FORGE RD",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596027375",
            "telephone_number": "406-442-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N JACKSON ST",
            "address_2": "CENTER FOR MENTAL HEALTH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013428",
            "telephone_number": "406-443-7151",
            "fax_number": "406-443-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "546 LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/SHIELD OF MONT",
            "identifier": "0000074918",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Institute of Integrative Therapy, LLC
• Deverie Ann Kelley, LCSW, LAC
• Marcus H Kelley, OD
• Kelly Killham
• Darcie Kelly, LCSW
• Patricia A. Kemp, L.C.P.C.
• Lisa Kenny, FNPC
• Patrick Ellis Kenny, PSYD
• Sarah Kent
• Leonard William Keppler Jr., DDS

• Professional Counselor in Helena, MT
• Providers in Helena, MT by specialty
• Professional Counselor in Montana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.