KELLY SHORES MA, LMFT, LAC
NPI 1457819138
Marriage & Family Therapist in Fortville, IN

Q: What is Kelly Shores's NPI number?

The NPI number for Kelly Shores is 1457819138. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Q: What is Kelly Shores's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Shores was last updated on March 12, 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.

Active since March 12, 2019

415 W BROADWAY ST, FORTVILLE, IN 46040(317) 710-7772 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Shores Ma, Lmft, Lac NPPES

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

KELLY SHORES MA, LMFT, LAC (NPI 1457819138) is an individual marriage & family therapist in Fortville, Indiana, licensed in Indiana (35001781A) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1457819138

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY SHORESCredential: MA, LMFT, LAC

Location Address415 W BROADWAY STFortville, IN 46040-1462

Mailing Address415 W Broadway StFortville, IN 46040-1462 · (317) 710-7772

Phone(317) 710-7772

Sole ProprietorYes

Enumeration DateMarch 12, 2019

✔ NPI 1457819138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in IN · 35001781A

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

415 W BROADWAY ST, Fortville, IN 46040

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Shores's NPI number?

The NPI number for Kelly Shores is 1457819138. It was assigned to this individual provider in the NPPES registry on March 12, 2019.

Where is Kelly Shores located?

Kelly Shores practices at 415 W Broadway St, Fortville, IN 46040. The listed phone number is (317) 710-7772.

What is Kelly Shores's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kelly Shores was last updated on March 12, 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.