Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALICIA KELSO
NPI 1104730613
Counselor - Mental Health in Shallowater, TX

Q: What is Alicia Kelso's NPI number?

The NPI number for Alicia Kelso is 1104730613. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Q: What is Alicia Kelso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Kelso was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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 October 01, 2026

9603 N COUNTY ROAD 1300, SHALLOWATER, TX 79363(806) 620-0704 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Alicia Kelso NPPES

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

ALICIA KELSO (NPI 1104730613) is an individual mental health provider in Shallowater, Texas, licensed in Texas (72522) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104730613

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALICIA KELSO

Location Address9603 N COUNTY ROAD 1300Shallowater, TX 79363-2165

Mailing Address9603 N County Road 1300Shallowater, TX 79363-2165 · (806) 620-0704

Phone(806) 620-0704

Sole ProprietorYes

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1104730613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 72522

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 72522 (TX)

9603 N COUNTY ROAD 1300, Shallowater, TX 79363

Open in Google Maps ↗

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 Alicia Kelso's NPI number?

The NPI number for Alicia Kelso is 1104730613. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Alicia Kelso located?

Alicia Kelso practices at 9603 N County Road 1300, Shallowater, TX 79363. The listed phone number is (806) 620-0704.

What is Alicia Kelso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Alicia Kelso was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.