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IRENE KELLY-PUCCINO
NPI 1225798564
Peer Specialist in Lawton, OK

Active since December 28, 2021
602 SW 38TH ST, LAWTON, OK 73505(580) 248-5780 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irene Kelly-puccino NPPES

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

IRENE KELLY-PUCCINO (NPI 1225798564) is an individual peer specialist in Lawton, Oklahoma and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1225798564
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameIRENE KELLY-PUCCINO
Location Address602 SW 38TH STLawton, OK 73505-6912
Mailing Address602 Sw 38th StLawton, OK 73505-6912 · (580) 248-5780
Phone(580) 248-5780
Sole ProprietorNo
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1225798564 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.
602 SW 38TH ST, Lawton, OK 73505
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Other Names 1

Former Name (1)Irene Puccino-shields, Franklin

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.

IESHA CARTER
Counselor (Mental Health)
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
LAMETRICE OGLESBY
Counselor (Mental Health)
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
STACEY BECK
Case Manager/Care Coordinator
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
ANNETTE KENT
Peer Specialist
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
TERESA FOWLER
Peer Specialist
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
RALEIGH EUGENE STONE JR. PRSS
Peer Specialist
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
MS. TERESA ANN NORRELL D.PH.
Pharmacist
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780
JESTINE ALVA BUDVARSON
Peer Specialist
602 SW 38TH ST
LAWTON, OK 73505
Comanche County (580) 248-5780

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 Irene Kelly-puccino's NPI number?

The NPI number for Irene Kelly-puccino is 1225798564. It was assigned to this individual provider in the NPPES registry on December 28, 2021. The provider is also known as Irene Puccino-Shields, Franklin.

Where is Irene Kelly-puccino located?

Irene Kelly-puccino practices at 602 SW 38th St, Lawton, OK 73505. The listed phone number is (580) 248-5780.

What is Irene Kelly-puccino'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 Irene Kelly-puccino was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.