Individual provider Active NPI

W. Stephen Kelly, LPC/LMFT

  • Mental Health Counselor
  • Slidell, LA
National Provider Identifier
1689757056
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC 2649/LMFT 075 Issued in LA
Practice address
85 Whisperwood Blvd Ste 2C
Slidell, LA 70458-1136
Phone
(985) 661-0560
NPI assigned
Oct 21, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC 2649/LMFT 075 LA Primary
Professional Counselor 101YP2500X LPC 2649/LMFT 075 LA

Addresses

Primary practice location

85 Whisperwood Blvd Ste 2C
Slidell, LA 70458-1136

Mailing address

85 Whisperwood Blvd Ste 2C
Slidell, LA 70458-1136
Phone (985) 661-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC 2649/LMFT 075LAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689757056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WHISPERWOOD BLVD STE 2C",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581136",
            "telephone_number": "985-661-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WHISPERWOOD BLVD STE 2C",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581136",
            "telephone_number": "985-661-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "W.",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LPC/LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "LPC 2649/LMFT 075",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "LPC 2649/LMFT 075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.