DR. KELLY LYNN CHEATHAM PHD, LPC-S
NPI 1609183094
Counselor - Professional in Southlake, TX

Q: What is Kelly Cheatham's NPI number?

The NPI number for Kelly Cheatham is 1609183094. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Q: What is Kelly Cheatham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Cheatham was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 September 07, 2010

2535 E SOUTHLAKE BLVD STE 220, SOUTHLAKE, TX 76092(817) 228-1668(469) 776-0669 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Jul 21, 2022, Jul 16, 2021 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Kelly Lynn Cheatham Phd, Lpc-s NPPES

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

DR. KELLY LYNN CHEATHAM PHD, LPC-S (NPI 1609183094) is an individual professional provider in Southlake, Texas, licensed in Texas (65475) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1609183094

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. KELLY LYNN CHEATHAMCredential: PHD, LPC-S

Location Address2535 E SOUTHLAKE BLVD STE 220Southlake, TX 76092-6629

Mailing Address2535 E Southlake Blvd Ste 220Southlake, TX 76092-6629 · (817) 228-1668 · Fax (469) 776-0669

Phone(817) 228-1668

Fax(469) 776-0669

Sole ProprietorYes

Enumeration DateSeptember 7, 2010

Last NPPES UpdateJanuary 3, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2025

✔ NPI 1609183094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 65475

2535 E SOUTHLAKE BLVD STE 220, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

ANNA L CLARK

Social Worker (Clinical)

2535 E SOUTHLAKE BLVD STE 220
SOUTHLAKE, TX 76092

Tarrant County (817) 913-6580

MS. HANNAH CHRISTENSEN LPC

Counselor (Professional)

2535 E SOUTHLAKE BLVD STE 220
SOUTHLAKE, TX 76092

Tarrant County (214) 613-6426

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 Cheatham's NPI number?

The NPI number for Kelly Cheatham is 1609183094. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Kelly Cheatham located?

Kelly Cheatham practices at 2535 E Southlake Blvd Ste 220, Southlake, TX 76092. The listed phone number is (817) 228-1668.

What is Kelly Cheatham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kelly Cheatham accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Kelly Cheatham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Cheatham was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.