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MS. KELLY ANN HEARN
NPI 1053080556
Peer Specialist in Choctaw, OK

Active since September 08, 2021
14625 NE 23RD ST, CHOCTAW, OK 73020(405) 390-8131 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly Ann Hearn NPPES

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

MS. KELLY ANN HEARN (NPI 1053080556) is an individual peer specialist in Choctaw, Oklahoma and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1053080556
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. KELLY ANN HEARN
Location Address14625 NE 23RD STChoctaw, OK 73020-8728
Mailing AddressPo Box 695Choctaw, OK 73020-0695 · (405) 390-8131 · Fax (405) 835-2253
Phone(405) 390-8131
Sole ProprietorNo
Enumeration DateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1053080556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
14625 NE 23RD ST, Choctaw, OK 73020
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Other Names 1

Professional Name (2)Dr. Mary E Gates Phd

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.

MS. ANNA M HATCHELL MHR
Counselor (Mental Health)
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
MR. ANTHONY BERNARD WILLIAMS
Case Manager/Care Coordinator
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
MRS. LINDSEY SANDERS
Counselor (Mental Health)
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
MRS. DANIELLE CHARLOTTE MARIE HOLMSTROM
Counselor (Professional)
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
MISS LAURA SUZANNA YANDRICHA CADC
Counselor (Addiction (Substance Use Disorder))
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
HANNAH WARD MFT
Counselor
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
T'ASIA TYREL LASHANE LASKEY
Case Manager/Care Coordinator
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131
LINDI WILLIAMS
Case Manager/Care Coordinator
14625 NE 23RD ST
CHOCTAW, OK 73020
Oklahoma County (405) 390-8131

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 Kelly Hearn's NPI number?

The NPI number for Kelly Hearn is 1053080556. It was assigned to this individual provider in the NPPES registry on September 8, 2021. The provider is also known as Dr. Mary E Gates Phd.

Where is Kelly Hearn located?

Kelly Hearn practices at 14625 NE 23rd St, Choctaw, OK 73020. The listed phone number is (405) 390-8131.

What is Kelly Hearn's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Hearn was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.