Kelly Jeannine Naylor
Individual provider Active NPI Mental Health Counselor · Saint Louis, MO
NPI 1912697178 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1912697178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078 - Phone
- (314) 469-6644
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Response, Inc | Current |
Accepting new patients |
Locations
5501 Delmar Blvd
Ste B300
Saint Louis, MO 63112
Phone (314) 469-4908
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Mailing address
5501 Delmar Blvd Ste B300
Saint Louis, MO 63112-3078
Phone (314) 469-6644
Other providers in Saint Louis, MO
- Ravi P Nayak
- Dinko Naydenov
- Soophia Khan Naydenov
- Juveria Nayeem
- Adam David Naylor
- Lindsey Nicole Naylor
- Patricia Y Naylor
- Nazareth Living Center
- Neelofur Nazeer
- Arash Nazeri
All providers in Saint Louis, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.