Kelli Renee Laye

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

Optimal Behavioral Support Services, LLC
4700 Wichers Drive, Suite 206
Marrero, LA 70072

Phone

(504) 645-5506

Fax

(888) 400-9860

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

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 names 1

• Kelli Renee Laye Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1679258313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC",
            "address_2": "4700 WICHERS DRIVE, SUITE 206",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-645-5506",
            "fax_number": "888-400-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OPTIMAL BEHAVIORAL SUPPORT SERVICES, LLC",
            "address_2": "4700 WICHERS DRIVE, SUITE 206",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-645-5506",
            "fax_number": "888-400-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYE",
        "first_name": "KELLI",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "LAYE",
            "middle_name": "RENEE",
            "credential": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Marrero, LA
• Providers in Marrero, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.