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SHIRLEY KELLEY
NPI 1104138015
Counselor in Texarkana, TX

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment
1125 N ROBISON RD, TEXARKANA, TX 75501(903) 832-2860(903) 832-2870 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley Kelley NPPES

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

SHIRLEY KELLEY (NPI 1104138015) is an individual counselor in Texarkana, Texas, licensed in Texas (64202) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2005).

NPPES Registry Identity

NPI1104138015
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHIRLEY KELLEY
Location Address1125 N ROBISON RDTexarkana, TX 75501-4103
Mailing Address1125 N Robison RdTexarkana, TX 75501-4103
Phone(903) 832-2860
Fax(903) 832-2870
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2005
Enumeration DateJuly 8, 2010
Last NPPES UpdateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1104138015 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 TX · 64202
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.
1125 N ROBISON RD, Texarkana, TX 75501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shirley Kelley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436597085
PECOS Enrollment IDI20240402003524
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

MOTION AND MOVEMENT MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
1125 N ROBISON RD
TEXARKANA, TX 75501
Bowie County (903) 223-8896
COUNSELING EXPRESS
Social Worker (Clinical)
1125 N ROBISON RD
TEXARKANA, TX 75501
Bowie County (903) 832-2890
MOTION AND MOVEMENT MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
1125 N ROBISON RD
TEXARKANA, TX 75501
Bowie County (903) 223-8896
MOTION & MOVEMENT MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
1125 N ROBISON RD
TEXARKANA, TX 75501
Bowie County (903) 223-8896

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 Shirley Kelley's NPI number?

The NPI number for Shirley Kelley is 1104138015. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Shirley Kelley located?

Shirley Kelley practices at 1125 N Robison Rd, Texarkana, TX 75501. The listed phone number is (903) 832-2860.

What is Shirley Kelley's specialty?

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

Is Shirley Kelley enrolled in Medicare?

Yes. Shirley Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shirley Kelley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Shirley Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shirley Kelley was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.