Mandy Brown Kelley, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

165647 Issued in KY

Practice address

203 North Elm Street
Henderson, KY 42420-3172

Phone

(270) 826-8761

Fax

(270) 826-8737

NPI assigned

Jan 14, 2015

Last updated

May 5, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

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

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Health Care Affiliates, IncGroup PAC ID 3173668274, 28 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.

• Regional Health Care Affiliates, Inc.

  • Federally Qualified Health Center (FQHC)
  • Providence, KY
  • NPI 1558692558
  Medicare reassignment Care Compare group NPD
• Regional Health Care Affiliates Inc

  • Federally Qualified Health Center (FQHC)
  • Clay, KY
  • NPI 1679395040
  NPD
• Regional Health Care Affiliates, Inc

  • Family Medicine Physician
  • Calhoun, KY
  • NPI 1144543349
  NPD

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1962891903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203132",
            "telephone_number": "270-826-8761",
            "fax_number": "270-826-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NORTH ELM STREET",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203172",
            "telephone_number": "270-826-8761",
            "fax_number": "270-826-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MANDY",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "165647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie L. Watson
• Jenna Kamuf, LPCA
• Jovil Kannampuzha, M.D.
• Thomas Allan Keen, DMD
• Linda Dalton Keith, F.N.P.
• Kemp (Kentucky Emergency Medical Physicians)
• Kendra Gray PHD PLC
• Kentucky Dental Professionals, PSC (Northwest Kentucky Dental Centre)
• Kentucky Emergency Medicine Physicians PLLC
• Kentucky Homecare of Henderson, LLC (Caretenders Home Health of Henderson)

• Counselor in Henderson, KY
• Providers in Henderson, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.