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JOHN-SCOTT B KELLEY MS, LAC
NPI 1932745361
Counselor - Professional in Fayetteville, AR

Active since November 20, 2019
3715 N BUSINESS DR STE 104, FAYETTEVILLE, AR 72703(479) 521-1532(479) 521-9940 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, Jun 23, 2020, Nov 20, 2019 (3 updates tracked since 2019).

About John-scott B Kelley Ms, Lac NPPES

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

JOHN-SCOTT B KELLEY MS, LAC (NPI 1932745361) is an individual professional provider in Fayetteville, Arkansas, licensed in Arkansas (A1912187) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1932745361
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN-SCOTT B KELLEYCredential: MS, LAC
Location Address3715 N BUSINESS DR STE 104Fayetteville, AR 72703-5287
Mailing Address2153 E Joyce Blvd Ste 201Fayetteville, AR 72703-5285 · (479) 575-9471 · Fax (479) 587-9392
Phone(479) 521-1532
Fax(479) 521-9940
Sole ProprietorNo
Enumeration DateNovember 20, 2019
Last NPPES UpdateAugust 6, 20203 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
✔ NPI 1932745361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · A1912187
3715 N BUSINESS DR STE 104, Fayetteville, AR 72703
Open in Google Maps ↗

Other Identifiers 1

Medicaid242832795AR

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN WEIMER MS, LAC
Counselor (Professional)
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
MS. APRIL MICHELLE GONDER MHPP
Case Manager/Care Coordinator
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
DR. JACOB STEPHENS MAYS D.O.
Psychiatry & Neurology (Psychiatry)
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
MISS ABIGAIL EMILY ROSE MHPP
Case Manager/Care Coordinator
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
NICOLE CAGLE
Case Manager/Care Coordinator
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
MRS. ADREANNA MEGAN PENDERGRAFT
Case Manager/Care Coordinator
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (870) 280-8776
RANDI KELLY AAS, QBHP
Case Manager/Care Coordinator
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
SKYE C PETERSON BS, QBHP
Case Manager/Care Coordinator
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532

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 John-scott Kelley's NPI number?

The NPI number for John-scott Kelley is 1932745361. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is John-scott Kelley located?

John-scott Kelley practices at 3715 N Business Dr Ste 104, Fayetteville, AR 72703. The listed phone number is (479) 521-1532.

What is John-scott Kelley's specialty?

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

When was this NPI record last updated?

The NPPES record for John-scott Kelley was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.