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DEDRAE KELLY PLPC
NPI 1336703271
Counselor in Columbia, MO

Active since April 25, 2019
401 N KEENE ST, COLUMBIA, MO 65201(573) 874-8818(573) 441-2668 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dedrae Kelly Plpc NPPES

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

DEDRAE KELLY PLPC (NPI 1336703271) is an individual counselor in Columbia, Missouri, licensed in Missouri (2019012965) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1336703271
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDEDRAE KELLYCredential: PLPC
Location Address401 N KEENE STColumbia, MO 65201-6625
Mailing Address401 N Keene StColumbia, MO 65201-6625 · (573) 874-8818 · Fax (573) 441-2668
Phone(573) 874-8818
Fax(573) 441-2668
Sole ProprietorNo
Enumeration DateApril 25, 2019
✔ NPI 1336703271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MO · 2019012965
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.
401 N KEENE ST, Columbia, MO 65201
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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.

DR. ANDREW MICHAEL BASNETT M.D.
Dermatology (MOHS-Micrographic Surgery)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1616
LISA D. MONSEES M.D.
Pediatrics (Adolescent Medicine)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1620
PHILIP W MORRISON MA, LPC
Counselor (Professional)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
THRIVE HEALTHCARE LLC
Internal Medicine
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 443-2402
ANTHONY JASON BANKS LMSW
Social Worker (Clinical)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
ANGELICA EHRHARDT PLPC
Counselor (Professional)
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 874-8818
VICTORIA HULL PA-C
Physician Assistant
401 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 876-1616
LINDA W. HANCIK APRN, BC, FNP
Nurse Practitioner (Family)
401 N KEENE ST, DR. LINDALL PERRY, BOONE CLINIC
COLUMBIA, MO 65201
Boone County (573) 874-3300

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 Dedrae Kelly's NPI number?

The NPI number for Dedrae Kelly is 1336703271. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Dedrae Kelly located?

Dedrae Kelly practices at 401 N Keene St, Columbia, MO 65201. The listed phone number is (573) 874-8818.

What is Dedrae Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dedrae Kelly was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.