Kay Ann Kelly, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1366 Issued in KS

Practice address

2955 SW Wanamaker Dr
Topeka, KS 66614-5318

Phone

(785) 272-5566

Fax

(785) 272-5967

NPI assigned

Aug 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 16, 2023 through Oct 16, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janis Huntoon, PHD, Inc

  • Psychologist
  • Lawrence, KS
  • NPI 1154378743
  NPD (past)
• Melvin Berg PHD LLC

  • Clinical Psychologist
  • Topeka, KS
  • NPI 1780941534
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750499869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 SW WANAMAKER DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145318",
            "telephone_number": "785-272-5566",
            "fax_number": "785-272-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SW WANAMAKER DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666145318",
            "telephone_number": "785-272-5566",
            "fax_number": "785-272-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAY",
        "middle_name": "ANN",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KS",
            "identifier": "69415",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly House Operations LLC (Kelly House 1)
• Kelly House Operations, LLC (Kelly House 2)
• Ashley B Kelly
• Dana Kelly
• Hailey Kelly, APRN
• Kellian R Kelly, APRN, FNP-C
• Verity Chantelle Kelpin
• Leah C Kemble, DO
• Ryan Kemp-Pappan, LMSW
• Molly Kemper, LMSW

• Clinical Social Worker in Topeka, KS
• Providers in Topeka, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.