Jennifer Ann Kelly, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3142 Issued in OK

Practice address

3801 NW 166TH St Ste 4
Edmond, OK 73012-9279

Phone

(405) 412-6215

NPI assigned

Oct 6, 2014

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

Other names 1

• Jennifer Ann Jobes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Jennifer a. Kelly, LCSW, LLC

  • Clinical Social Worker
  • Edmond, OK
  • NPI 1477126258
  NPD Authorized official
• Lilyfield, Inc.

  • Foster Care Agency
  • Edmond, OK
  • NPI 1417393836
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1982007944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NW 166TH ST STE 4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129279",
            "telephone_number": "405-412-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 NW 166TH ST STE 4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129279",
            "telephone_number": "405-412-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JOBES",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coby Keller, SLPA
• Kelley Bailey, LLC
• Kelli Cook, LPC, LLC
• Kelli K Hurst, LLC
• Barry Shane Kelly Jr.
• Matthew Thomas Kelly
• Jayme Kelton
• Noelle Kelton
• Elise Kennedy
• Ericka Kennedy

• Professional Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.