Active NPI
Jennifer Ann Kelly, MS LPC
- Counselor
- Oklahoma City, OK
National Provider Identifier
1760688766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1900 N Macarthur Blvd
Suite 105
Oklahoma City, OK 73127-2617 - Phone
- (405) 640-1973
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1900 N Macarthur Blvd
Suite 105
Oklahoma City, OK 73127-2617
Mailing address
1424 Chimney Hill Rd
Yukon, OK 73099-3107
Phone (405) 640-1973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10 | Other | OK | BEHAVIORAL HEALTH AND SOC |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1760688766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 CHIMNEY HILL RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730993107",
"telephone_number": "405-640-1973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N MACARTHUR BLVD",
"address_2": "SUITE 105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731272617",
"telephone_number": "405-640-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH AND SOC",
"identifier": "10",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.