RICHARD TYLER KELLY
NPI 1275199069
Counselor in Columbus, MS

Q: What is Richard Kelly's NPI number?

The NPI number for Richard Kelly is 1275199069. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Q: What is Richard 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 Richard Kelly was last updated on May 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2019

2623 5TH ST N, COLUMBUS, MS 39705(662) 241-7097 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Richard Tyler Kelly NPPES

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

RICHARD TYLER KELLY (NPI 1275199069) is an individual counselor in Columbus, Mississippi and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1275199069

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameRICHARD TYLER KELLY

Location Address2623 5TH ST NColumbus, MS 39705-2009

Mailing Address860 E River Pl Ste 100Jackson, MS 39202-3442

Phone(662) 241-7097

Sole ProprietorNo

Enumeration DateMay 16, 2019

✔ NPI 1275199069 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.

2623 5TH ST N, Columbus, MS 39705

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