MRS. CARISSA NICOLE KELLEY
NPI 1790159382
Counselor - Addiction (Substance Use Disorder) in Seminole, OK

Q: What is Carissa Kelley's NPI number?

The NPI number for Carissa Kelley is 1790159382. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Q: What is Carissa Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Carissa Kelley was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 19, 2015

2215 W. WRANGLER BLVD. APT. 135, SEMINOLE, OK 74868(405) 584-1350 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Carissa Nicole Kelley NPPES

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

MRS. CARISSA NICOLE KELLEY (NPI 1790159382) is an individual addiction (substance use disorder) provider in Seminole, Oklahoma and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1790159382

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. CARISSA NICOLE KELLEY

Location Address2215 W. WRANGLER BLVD. APT. 135Seminole, OK 74868

Mailing Address2215 W Wrangler Blvd Apt 135Seminole, OK 74868-2098 · (405) 584-1350

Phone(405) 584-1350

Sole ProprietorNo

Enumeration DateNovember 19, 2015

✔ NPI 1790159382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

2215 W. WRANGLER BLVD. APT. 135, Seminole, OK 74868

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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 Carissa Kelley's NPI number?

The NPI number for Carissa Kelley is 1790159382. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Carissa Kelley located?

Carissa Kelley practices at 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868. The listed phone number is (405) 584-1350.

What is Carissa Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carissa Kelley was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.