KELLY KELLER
NPI 1104172733
Counselor in Oklahoma City, OK

Active since August 01, 2012
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112(405) 858-2700(405) 858-2810 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor

About KELLY KELLER

This page provides the complete NPI Profile along with additional information for Kelly Keller, a provider established in Oklahoma City, Oklahoma with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1104172733 assigned on August 2012. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1104172733 Verify this NPI
Provider Name
KELLY KELLER
Gender
Female
Entity Type
Individual
Location Address
4436 NW 50TH ST OKLAHOMA CITY, OK 73112
Location Phone
(405) 858-2700
Location Fax
(405) 858-2810
Mailing Address
4436 NW 50TH ST OKLAHOMA CITY, OK 73112
Mailing Phone
(405) 858-2700
Mailing Fax
(405) 858-2810
Is Sole Proprietor?
No
Enumeration Date
08-01-2012
Last Update Date
08-01-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Social Worker (Clinical)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Social Worker (Clinical)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor (Mental Health)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Registered Nurse (Psychiatric/Mental Health, Adult)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Counselor
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112
Registered Nurse (Psychiatric/Mental Health, Adult)
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104172733, enumerated as an "individual" on August 01, 2012.

The provider is located at 4436 NW 50TH ST OKLAHOMA CITY, OK 73112 and the phone number is (405) 858-2700.

Counselor with taxonomy code 101Y00000X.