Kelly Desilva

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P-2226 Issued in NE

Practice address

1203 S 8TH St
Norfolk, NE 68701-5875

Phone

(402) 371-0220

NPI assigned

Oct 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelly Perley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1679298061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S 8TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015875",
            "telephone_number": "402-371-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S 8TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015875",
            "telephone_number": "402-371-0220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2718 13th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686014917",
            "country_code": "US",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "P-2226",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "PERLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.