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KELLY MARIE BUCKLEY LPC
NPI 1720603830
Counselor - Professional in Saint Louis, MO

Active since June 15, 2020
5106 HAMPTON AVE STE 204, SAINT LOUIS, MO 63109(636) 208-0114 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2025, Aug 7, 2025, May 6, 2025 and 2 more (5 updates tracked since 2020).

About Kelly Marie Buckley Lpc NPPES

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

KELLY MARIE BUCKLEY LPC (NPI 1720603830) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2017034803) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1720603830
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY MARIE BUCKLEYCredential: LPC
Location Address5106 HAMPTON AVE STE 204Saint Louis, MO 63109-3115
Mailing Address5106 Hampton Ave Ste 204Saint Louis, MO 63109-3115 · (636) 208-0114
Phone(636) 208-0114
Sole ProprietorNo
Enumeration DateJune 15, 2020
Last NPPES UpdateAugust 13, 20255 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1720603830 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 MO · 2017034803
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2017034803 (MO)
5106 HAMPTON AVE STE 204, Saint Louis, MO 63109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.Insurance ›

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 Buckley's NPI number?

The NPI number for Kelly Buckley is 1720603830. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Kelly Buckley located?

Kelly Buckley practices at 5106 Hampton Ave Ste 204, Saint Louis, MO 63109. The listed phone number is (636) 208-0114.

What is Kelly Buckley's specialty?

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

What insurance does Kelly Buckley accept?

Health plans from Medica, Oscar Insurance Company and UnitedHealthcare list Kelly Buckley 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 Buckley was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.