TIMOTHY EUGENE KELLEY MA
NPI 1710223698
Counselor - Professional in La Junta, CO
- Individual
- Male
- Counselor
- Professional
About TIMOTHY KELLEY
This page provides the complete NPI Profile along with additional information for Timothy Kelley, a provider established in La Junta, Colorado with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1710223698 assigned on December 2012. The practitioner's primary taxonomy code is 101YP2500X with license number 3479 (CO). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1710223698 Verify this NPI
- Provider Name
- TIMOTHY EUGENE KELLEY MA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 313 WEST THIRD STREET, SUITE 204 LA JUNTA, CO 81050
- Location Phone
- (719) 469-0799
- Mailing Address
- 313 WEST THIRD STREET, SUITE 204 LA JUNTA, CO 81050
- Mailing Phone
- (719) 469-0799
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-20-2012
- Last Update Date
- 12-20-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3479
- License State
- CO
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 3479 (CO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| $$$$$$$$$ | MEDICAID (05) | CO |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710223698, enumerated as an "individual" on December 20, 2012.
The provider is located at 313 WEST THIRD STREET, SUITE 204 LA JUNTA, CO 81050 and the phone number is (719) 469-0799.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
