Tracy Susan Kelly, M.A. MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

505 S Arlington Ave Ste 212-D
Reno, NV 89509-1527

Phone

(775) 742-7764

Fax

(775) 622-4509

NPI assigned

Nov 17, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1982948725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50237",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894350237",
            "telephone_number": "775-742-7764",
            "fax_number": "775-622-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S ARLINGTON AVE STE 212-D",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895091527",
            "telephone_number": "775-742-7764",
            "fax_number": "775-622-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TRACY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "M.A. MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kelly, LSW
• Ann Elizabeth Kelly
• Brianne Marie Kelly, PA
• Crystal Kelly
• Melanie Kelly, PHARMD
• Kelnoell Behavior Services
• Madison Keltner
• Marcy Kelto, OT
• Jennifer Lauren Kem, LCSW
• Karmen Rae Kemmerer, PHARM.D.

• Marriage & Family Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.