NPIMap

Organization Active NPI

Jennifer Kelly Counseling Services PLLC

  • Professional Counselor
  • Yukon, OK
National Provider Identifier
1710254420
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4273 Issued in OK
Legal business name
JENNIFER KELLY COUNSELING SERVICES PLLC
Practice address
530 Pointe Parkway Blvd Ste B
Yukon, OK 73099-0600
Phone
(405) 640-1973
Fax
(405) 708-5349
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Jennifer Ann Kelly, MS LPC
Title
Licensed Professional Counselor
Phone
(405) 640-1973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 4273 OK Primary

Addresses

Primary practice location

530 Pointe Parkway Blvd Ste B
Yukon, OK 73099-0600

Mailing address

530 Pointe Parkway Blvd Ste B
Yukon, OK 73099-0600
Phone (405) 640-1973

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1710254420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 POINTE PARKWAY BLVD STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990600",
            "telephone_number": "405-640-1973",
            "fax_number": "405-708-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 POINTE PARKWAY BLVD STE B",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730990600",
            "telephone_number": "405-640-1973",
            "fax_number": "405-708-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER KELLY COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-640-1973",
        "authorized_official_credential": "MS LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.