Tara Ruth Kelley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2358 Silversides Loop
Pensacola, FL 32526-1565

Phone

(850) 791-6380

NPI assigned

Sep 26, 2007

Last updated

Sep 26, 2007By 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

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1730376419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 SILVERSIDES LOOP",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261565",
            "telephone_number": "850-791-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 SILVERSIDES LOOP",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325261565",
            "telephone_number": "850-791-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TARA",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kelley, OT
• Megan Elizabeth Kelley, PHARM D
• Nikki Sue Kelley, NP-C
• Sherri Lynn Kelley
• Suzanne Kelley, RPH, CPH
• Kelly Demuynck
• Kelly Stone Counseling LLC
• Andrew Kelly
• Beth Kelly
• David Kelly

• Mental Health Counselor in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.