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DESERIE BONNIE KELLEY
NPI 1942098652
Peer Specialist in Missoula, MT

Active since April 30, 2025
2210 MULLAN RD, MISSOULA, MT 59808(406) 493-7041 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deserie Bonnie Kelley NPPES

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

DESERIE BONNIE KELLEY (NPI 1942098652) is an individual peer specialist in Missoula, Montana, licensed in Montana (BBH-BHPS-CRT-78905) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1942098652
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDESERIE BONNIE KELLEY
Location Address2210 MULLAN RDMissoula, MT 59808-2059
Mailing Address401 Railroad St WMissoula, MT 59802-4178 · (406) 258-4789 · Fax (406) 258-4732
Phone(406) 493-7041
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1942098652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in MT · BBH-BHPS-CRT-78905
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2210 MULLAN RD, Missoula, MT 59808
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Other Names 1

Professional Name (2)Bonnie Kelley

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 Deserie Kelley's NPI number?

The NPI number for Deserie Kelley is 1942098652. It was assigned to this individual provider in the NPPES registry on April 30, 2025. The provider is also known as Bonnie Kelley.

Where is Deserie Kelley located?

Deserie Kelley practices at 2210 Mullan Rd, Missoula, MT 59808. The listed phone number is (406) 493-7041.

What is Deserie Kelley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Deserie Kelley was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.