Kayla Nicole Felker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-9434 Issued in MS

Practice address

215 Katherine Drive
Suite a
Flowood, MS 39232-9588

Phone

(601) 665-4162

Fax

(855) 830-3484

NPI assigned

Aug 8, 2017

Last updated

Sep 22, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Restore Therapy GroupGroup PAC ID 5294184552, 10 clinicians

Tishomingo Health Services, Inc.Group PAC ID 2466354303, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restore Therapy Group

  • Clinical Social Worker
  • Germantown, TN
  • NPI 1740066331

  MS

  Medicare reassignment Care Compare group NPD
• Tishomingo Health Services, Inc.

  dba Tishomingo Co Hospital

  • General Acute Care Hospital
  • Iuka, MS
  • NPI 1548376700
  Medicare reassignment Care Compare group
• MDB Behavioral Health Services LLC

  dba Complete Care Rural Health Clinic

  • Rural Health Clinic/Center
  • Vicksburg, MS
  • NPI 1669835310
  Medicare reassignment NPD
• Tishomingo Health Services, Inc.

  dba Belmont Family Medical Clinic

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD
• Tishomingo Health Services, Inc.

  dba Pulmonary Consultants Iuka

  • Pulmonary Disease Physician
  • Iuka, MS
  • NPI 1659254639
  NPD

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1912422213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 MARIA LN",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KATHERINE DRIVE",
            "address_2": "SUITE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329588",
            "telephone_number": "601-665-4162",
            "fax_number": "855-830-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Maria Ln",
            "address_purpose": "LOCATION",
            "city": "Iuka",
            "state": "MS",
            "postal_code": "388521135",
            "country_code": "US",
            "telephone_number": "662-423-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELKER",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C-9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Care Clinic, Inc.
• Erin Janell Farmer
• Debra Lane Fatherree, RN, IBCLC
• Emily Callaway Faulkner
• Rose Mary Favre, LCSW
• Lee Michael Ferguson, M.D.
• Candi Marie Ferriss
• Jessica Dawn Fielder, R.K.T.
• Fillingane Medical Clinic, PA
• Brittany Michelle Fitzgerald, FNP-C

• Clinical Social Worker in Flowood, MS
• Providers in Flowood, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.

Verify at the official NPI Registry.