KELLEY J GANNON LCSW
NPI 1053460931
Counselor in Frankfort, KY

Active since January 09, 2007
191 DOCTORS DR, FRANKFORT, KY 40601(859) 253-1686(859) 254-2743 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley J Gannon Lcsw NPPES

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

KELLEY J GANNON LCSW (NPI 1053460931) is an individual counselor in Frankfort, Kentucky, licensed in Kentucky (1728) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1053460931
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLEY J GANNONCredential: LCSW
Location Address191 DOCTORS DRFrankfort, KY 40601-4101
Mailing Address1351 Newtown PikeLexington, KY 40511-1217 · (859) 253-1686 · Fax (859) 253-2743
Fax(859) 254-2743
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1053460931 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 KY · 1728
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.
191 DOCTORS DR, Frankfort, KY 40601

Other Identifiers 3

Medicare ID-Type Unspecified0045374KY · Medicare
Medicaid30615058KY
Medicare ID-Type Unspecified0453KY · Medicare

Other Providers at the Same Location NPPES 18

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

Social Worker
191 DOCTORS DR
FRANKFORT, KY 40601
Social Worker
191 DOCTORS DR
FRANKFORT, KY 40601
Social Worker
191 DOCTORS DR
FRANKFORT, KY 40601
Social Worker
191 DOCTORS DR
FRANKFORT, KY 40601
Counselor (Professional)
191 DOCTORS DR
FRANKFORT, KY 40601
Registered Nurse (Psychiatric/Mental Health)
191 DOCTORS DR
FRANKFORT, KY 40601
Social Worker
191 DOCTORS DR
FRANKFORT, KY 40601
Registered Nurse (Psychiatric/Mental Health)
191 DOCTORS DR
FRANKFORT, KY 40601

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 Kelley Gannon's NPI number?

The NPI number for Kelley Gannon is 1053460931. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Kelley Gannon located?

Kelley Gannon practices at 191 Doctors Dr, Frankfort, KY 40601. The listed phone number is (859) 253-1686.

What is Kelley Gannon'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 Kelley Gannon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.