Active NPI
Kelsey Eller
- Mental Health Counselor
- McAlester, OK
National Provider Identifier
1770979478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 512 E Chickasaw Ave
McAlester, OK 74501-5354 - Phone
- (918) 302-0389
- Fax
- (918) 302-3809
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
512 E Chickasaw Ave
McAlester, OK 74501-5354
Mailing address
4943 Ulan Rd
Indianola, OK 74442-5019
Phone (918) 429-8507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 61
Hugo, OK 74743
PO Box
Suite 73
Pattonville, TX 75468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Service, L.L.C. | Current | Accepting new patients | |
| Southeastern Oklahoma Social Services Inc. | Mental Health | Past | Accepting new patients |
Locations
212 E Duke St
Hugo, OK 74743
Phone (580) 326-2200
316 E Choctaw Ave
McAlester, OK 74501
Phone (918) 426-4841
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Hugo, OK
- NPI 1922353119
-
- Mental Health Counselor
- McAlester, OK
- NPI 1174748917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1770979478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4943 ULAN RD",
"city": "INDIANOLA",
"state": "OK",
"postal_code": "744425019",
"telephone_number": "918-429-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E CHICKASAW AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015354",
"telephone_number": "918-302-0389",
"fax_number": "918-302-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.