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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EDNA C KELLY LPC - CANDIDATE
NPI 1043553019
Counselor in Moore, OK

Active since March 28, 2013
620 NW 5TH ST STE D, MOORE, OK 73160(405) 208-4469(405) 208-4472 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Edna C Kelly Lpc - Candidate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDNA C KELLY LPC - CANDIDATE (NPI 1043553019) is an individual counselor in Moore, Oklahoma, licensed in Oklahoma (LPCCANDIDATE13677) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1043553019
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEDNA C KELLYCredential: LPC - CANDIDATE
Location Address620 NW 5TH ST STE DMoore, OK 73160-3947
Mailing Address733 Ne 20th StMoore, OK 73160-5649 · (405) 708-3422
Phone(405) 208-4469
Fax(405) 208-4472
Sole ProprietorYes
Enumeration DateMarch 28, 2013
Last NPPES UpdateSeptember 27, 2026
NPPES CertifiedSeptember 27, 2026
✔ NPI 1043553019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · LPCCANDIDATE13677
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
620 NW 5TH ST STE D, Moore, OK 73160
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEE YOUNG LPC
Counselor (Mental Health)
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
JAELYNN MAE FARLEY-JONES
Social Worker
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
DREW TYSON PIERCE LPC-CANDIDATE
Counselor (Mental Health)
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
MR. ISAIAH DAESHAWN ROBERSON
Counselor
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
HANNAH LAREE GRAY
Marriage & Family Therapist
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 432-9562
HEATHER GLENN
Counselor
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
LAUREN RILEY
Counselor
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469
JESSICA C CRIBBS
Case Manager/Care Coordinator
620 NW 5TH ST STE D
MOORE, OK 73160
Cleveland County (405) 208-4469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edna Kelly's NPI number?

The NPI number for Edna Kelly is 1043553019. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Edna Kelly located?

Edna Kelly practices at 620 NW 5th St Ste D, Moore, OK 73160. The listed phone number is (405) 208-4469.

What is Edna Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Edna Kelly was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.