TYRONE L KELLEWOOD MHC
NPI 1811123136
Counselor - Mental Health in Shiprock, NM
About Tyrone L Kellewood Mhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRONE L KELLEWOOD MHC (NPI 1811123136) is an individual mental health provider in Shiprock, New Mexico, licensed in Washington (LH 60084686) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyrone L Kellewood Mhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHIPROCK, NM 87420
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 Tyrone Kellewood's NPI number?
The NPI number for Tyrone Kellewood is 1811123136. It was assigned to this individual provider in the NPPES registry on June 1, 2009.
Where is Tyrone Kellewood located?
Tyrone Kellewood practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.
What is Tyrone Kellewood's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tyrone Kellewood enrolled in Medicare?
Yes. Tyrone Kellewood is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Tyrone Kellewood accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Tyrone Kellewood 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 Tyrone Kellewood was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tyrone L Kellewood, MHC · NPI 1811123136
Mental Health provider in Shiprock, New Mexico. Individual provider, active in the CMS NPPES registry since June 1, 2009.
## Identity
- **NPI:** 1811123136 (Entity type: Individual)
- **Enumerated:** June 1, 2009
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH 60084686 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** US HWY 491 NORTH, Shiprock, NM 87420
- **Phone:** (505) 368-6001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811123136) · Data from the CMS NPPES public registry.