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MRS. KELLY JO SHADA R.N.,L.M.H.P.
NPI 1427190040
Counselor - Mental Health in Kearney, NE

Active since February 12, 2007
5205 2ND AVE, KEARNEY, NE 68847(308) 236-7545(308) 236-7545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Jo Shada R.n.,l.m.h.p. NPPES

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

MRS. KELLY JO SHADA R.N.,L.M.H.P. (NPI 1427190040) is an individual mental health provider in Kearney, Nebraska, licensed in Nebraska (423) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1427190040
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY JO SHADACredential: R.N.,L.M.H.P.
Location Address5205 2ND AVEKearney, NE 68847-2471
Mailing Address5205 2nd AveKearney, NE 68847-2471 · (308) 236-7545 · Fax (308) 236-7545
Phone(308) 236-7545
Fax(308) 236-7545
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427190040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NE · 423
5205 2ND AVE, Kearney, NE 68847
Open in Google Maps ↗

Other Identifiers 2

Other25690NE · Midlands Choice
Other84306NE · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 4

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

KAREN L. WALLER MS LPC LMHP
Counselor (Mental Health)
5205 2ND AVE
KEARNEY, NE 68847
Buffalo County (308) 237-5596
TJ FOUR FAMILY
Clinic/Center (Primary Care)
5205 2ND AVE
KEARNEY, NE 68847
Buffalo County (308) 440-2983
DR. BURT JOHN MCKEAG MD
Anesthesiology
5205 2ND AVE
KEARNEY, NE 68847
Buffalo County (308) 237-9696
PAMELA SUE MCKEAG MD
Anesthesiology
5205 2ND AVE
KEARNEY, NE 68847
Buffalo County (308) 237-9696

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 Shada's NPI number?

The NPI number for Kelly Shada is 1427190040. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Kelly Shada located?

Kelly Shada practices at 5205 2nd Ave, Kearney, NE 68847. The listed phone number is (308) 236-7545.

What is Kelly Shada'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 Shada was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.