CHERESE DANIELLE KELLEY
NPI 1689407983
Counselor - Professional in Magnolia, TX

Active since August 22, 2024PECOS Enrolled
27003 HIDDEN ROCK CT, MAGNOLIA, TX 77354(210) 262-9902 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Aug 22, 2024 (2 updates tracked since 2024).

About Cherese Danielle Kelley NPPES

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

CHERESE DANIELLE KELLEY (NPI 1689407983) is an individual professional provider in Magnolia, Texas, licensed in Texas (96164) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689407983
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHERESE DANIELLE KELLEY
Location Address27003 HIDDEN ROCK CTMagnolia, TX 77354-6783
Mailing Address27003 Hidden Rock CtMagnolia, TX 77354-6783 · (210) 262-9902
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2024
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1689407983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 96164
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
27003 HIDDEN ROCK CT, Magnolia, TX 77354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cherese Danielle Kelley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941771224
PECOS Enrollment IDI20260608002391
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Professional)
27003 HIDDEN ROCK CT
MAGNOLIA, TX 77354
Social Worker
27003 HIDDEN ROCK CT
MAGNOLIA, TX 77354

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 Cherese Kelley's NPI number?

The NPI number for Cherese Kelley is 1689407983. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Cherese Kelley located?

Cherese Kelley practices at 27003 Hidden Rock Ct, Magnolia, TX 77354. The listed phone number is (210) 262-9902.

What is Cherese Kelley's specialty?

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

Is Cherese Kelley enrolled in Medicare?

Yes. Cherese Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cherese Kelley was last updated on December 19, 2024. 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.