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KELLY MELLARD MA
NPI 1154916914
Counselor - Mental Health in Fairbanks, AK

Active since March 03, 2021
209 FORTY MILE AVE, FAIRBANKS, AK 99701(907) 456-6445 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Mellard Ma NPPES

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

KELLY MELLARD MA (NPI 1154916914) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1154916914
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MELLARDCredential: MA
Location Address209 FORTY MILE AVEFairbanks, AK 99701-3110
Mailing Address209 Forty Mile AveFairbanks, AK 99701-3110 · (907) 456-6445
Phone(907) 456-6445
Sole ProprietorNo
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1154916914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
209 FORTY MILE AVE, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 20

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

BRENDA BORNT-JOHNSON
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
ETHAN HART
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
MACKENZIE GROVER
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
RIKKIE O JOHNSON WAY
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
TIFFANY HARRIS
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 651-2651
PAIGE A NIETO
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
LINDA BROWN
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445
JABARI K STONE
Community Health Worker
209 FORTY MILE AVE
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-6445

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 Kelly Mellard's NPI number?

The NPI number for Kelly Mellard is 1154916914. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Kelly Mellard located?

Kelly Mellard practices at 209 Forty Mile Ave, Fairbanks, AK 99701. The listed phone number is (907) 456-6445.

What is Kelly Mellard'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 Kelly Mellard was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.