Kelley Mires
Individual provider Active NPI Mental Health Counselor · New Palestine, IN
NPI 1700285202 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1700285202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 6392 W 300 S
New Palestine, IN 46163-9748 - Phone
- (317) 340-9875
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IN | Yes |
Addresses
Primary practice location
6392 W 300 S
New Palestine, IN 46163-9748
Mailing address
6392 W 300 S
New Palestine, IN 46163-9748
Phone (317) 340-9875
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201033170 A | Medicaid | IN |
Other providers in New Palestine, IN
- Mattieida'S Peace LLC
- Bailey Morgan Lannan Mazurek
- MFDC of Indiana, Inc
- Melody J Miller-Hufstedler
- Madison Miller
- Shawn Thomas Moore
- Eisbeth Moreno-Valdez
- New Palestine Chiropractic Inc
- New Palestine Family Dentistry, PC
- Amy Oakes
All providers in New Palestine, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.