Annette Kelso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

500 Crown Point Cir
Grass Valley, CA 95945-9514

Phone

(530) 265-1720

NPI assigned

Jul 17, 2009

Last updated

Jul 17, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Sierra Family Therapy Centers, Inc.

  • Marriage & Family Therapist
  • Grass Valley, CA
  • NPI 1336648385
  NPD

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1922238443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459514",
            "telephone_number": "530-265-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CROWN POINT CIR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459514",
            "telephone_number": "530-265-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breana Marisa Keillor
• Margaret Lea Keller
• Alan Scott Kellermann, MD
• Tina C Kelley
• Amy Kelly, DSCN
• Jospeh Kemp
• Beth B Kemplin
• Rebecca Kennedy-Smith, AA
• Ryan Neil Kennedy, LVN
• Scott Kerksieck

• Mental Health Counselor in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.