MR. MARK ALLEN KELLY P-LPC
NPI 1104708437
Counselor in Oxford, MS

Q: What is Mark Kelly's NPI number?

The NPI number for Mark Kelly is 1104708437. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Q: What is Mark Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Kelly was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since July 25, 2025

2094 OLD TAYLOR RD STE 157, OXFORD, MS 38655(601) 790-0583 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Mark Allen Kelly P-lpc NPPES

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

MR. MARK ALLEN KELLY P-LPC (NPI 1104708437) is an individual counselor in Oxford, Mississippi and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1104708437

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. MARK ALLEN KELLYCredential: P-LPC

Location Address2094 OLD TAYLOR RD STE 157Oxford, MS 38655-5019

Mailing Address2094 Old Taylor Rd Ste 157Oxford, MS 38655-5019 · (601) 790-0583

Phone(601) 790-0583

Sole ProprietorYes

Enumeration DateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1104708437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

2094 OLD TAYLOR RD STE 157, Oxford, MS 38655

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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 Mark Kelly's NPI number?

The NPI number for Mark Kelly is 1104708437. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Mark Kelly located?

Mark Kelly practices at 2094 Old Taylor Rd Ste 157, Oxford, MS 38655. The listed phone number is (601) 790-0583.

What is Mark 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 Mark Kelly was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.