Active NPI
Skye Kelley
- Mental Health Counselor
- Williamsburg, IA
National Provider Identifier
1992419337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 114265
- Practice address
- 306 W State St
Williamsburg, IA 52361-9700 - Phone
- (319) 668-1217
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 114265 | IA | Primary |
Addresses
Primary practice location
306 W State St
Williamsburg, IA 52361-9700
Mailing address
PO Box 313
Williamsburg, IA 52361-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114265 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Counseling, LLC | Past | Accepting new patients | |
| Rodasi LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Williamsburg, IA
- NPI 1588958516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1992419337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 313",
"city": "WILLIAMSBURG",
"state": "IA",
"postal_code": "523610313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W STATE ST",
"city": "WILLIAMSBURG",
"state": "IA",
"postal_code": "523619700",
"telephone_number": "319-668-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "SKYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "114265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.