MARCUS JEROME KELLY
NPI 1992065619
Counselor - Mental Health in Moore, OK

Q: What is Marcus Kelly's NPI number?

The NPI number for Marcus Kelly is 1992065619. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Q: What is Marcus Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Kelly was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 29, 2012

1805 MEAD LN, MOORE, OK 73170(405) 201-8496 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marcus Jerome Kelly NPPES

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

MARCUS JEROME KELLY (NPI 1992065619) is an individual mental health provider in Moore, Oklahoma, licensed in Oklahoma (081111886) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1992065619

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMARCUS JEROME KELLY

Location Address1805 MEAD LNMoore, OK 73170-1472

Mailing Address1805 Mead LnMoore, OK 73170-1472 · (405) 201-8496

Phone(405) 201-8496

Sole ProprietorYes

Enumeration DateMay 29, 2012

✔ NPI 1992065619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OK · 081111886

1805 MEAD LN, Moore, OK 73170

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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 Marcus Kelly's NPI number?

The NPI number for Marcus Kelly is 1992065619. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is Marcus Kelly located?

Marcus Kelly practices at 1805 Mead Ln, Moore, OK 73170. The listed phone number is (405) 201-8496.

What is Marcus Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marcus Kelly was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.