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KELLY COMPANIES, LLC
NPI 1487310074
Social Worker - Clinical in Donnelly, ID

Active since November 09, 2021
13019 PONDEROSA DR, DONNELLY, ID 83615(208) 880-8727 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Companies, Llc NPPES

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

KELLY COMPANIES, LLC (NPI 1487310074), doing business as Mountain Valley Counseling & Outdoor Therapy, is a healthcare organization registered as a clinical in Donnelly, Idaho and active in the NPI registry since November 2021. The organization lists Jamie Tisa Coffey-kelly, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1487310074
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLY COMPANIES, LLC
Location Address13019 PONDEROSA DRDonnelly, ID 83615
Mailing AddressPo Box 416Donnelly, ID 83615-0416 · (208) 880-8727
Phone(208) 880-8727
Organization SubpartYes
Authorized OfficialJamie Tisa Coffey-kellyPresident/ceo · (208) 880-8727
Enumeration DateNovember 9, 2021
NPPES CertifiedNovember 9, 2021
✔ NPI 1487310074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
13019 PONDEROSA DR, Donnelly, ID 83615
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Other Names 1

Doing Business AsMountain Valley Counseling & Outdoor Therapy

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 MULTIPLE 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 Companies, LLC's NPI number?

The NPI number for Kelly Companies, LLC is 1487310074. It was assigned to this organization in the NPPES registry on November 9, 2021. The provider is doing business as Mountain Valley Counseling & Outdoor Therapy.

Where is Kelly Companies, LLC located?

Kelly Companies, LLC is located at 13019 Ponderosa Dr, Donnelly, ID 83615. The listed phone number is (208) 880-8727.

What is Kelly Companies, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Companies, LLC was last updated on November 9, 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.