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BRENDAN KELLOGG B.A.
NPI 1205223815
Peer Specialist in Ada, OK

Active since April 21, 2015
301 W 4TH ST, ADA, OK 74820(580) 257-2444(580) 257-2445 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brendan Kellogg B.a. NPPES

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

BRENDAN KELLOGG B.A. (NPI 1205223815) is an individual peer specialist in Ada, Oklahoma and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1205223815
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBRENDAN KELLOGGCredential: B.A.
Location Address301 W 4TH STAda, OK 74820-3411
Mailing AddressPo Box 189Ardmore, OK 73402-0189 · (580) 319-7305 · Fax (580) 319-7328
Phone(580) 257-2444
Fax(580) 257-2445
Sole ProprietorNo
Enumeration DateApril 21, 2015
Last NPPES UpdateDecember 10, 2024
NPPES CertifiedDecember 10, 2024
✔ NPI 1205223815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
301 W 4TH ST, Ada, OK 74820
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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.

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Clinic/Center (Mental Health (Including Community Mental Health Center))
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
CARROLL DAVID HILL
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
JUSTIN DOTY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
ASHLEY HYSTEN
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
SARA MORGAN
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
MARISSA BRADY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
GEORGE BURR II
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
ASHLYN PETERSON
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690

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 Brendan Kellogg's NPI number?

The NPI number for Brendan Kellogg is 1205223815. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Brendan Kellogg located?

Brendan Kellogg practices at 301 W 4th St, Ada, OK 74820. The listed phone number is (580) 257-2444.

What is Brendan Kellogg's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Brendan Kellogg was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.