CELIA PARTIDA KELLY (NPI# 1053795062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053795062 |
Entity Type | Individual |
Full Name | CELIA PARTIDA KELLY |
Credential | MA, LPC, CAADC, SWT |
Practice Address |
208 W Lincoln St Charlevoix MI 49720 |
Mailing Address |
208 W Lincoln St Charlevoix MI 49720-1336 |
Practice Telephone | 2315471144 |
Practice Fax Number | 2315474970 |
Mailing Telephone | 2315471144 |
Mailing Fax Number | 2315474970 |
Enumeration Date | 2015-07-20 |
Last Update Date | 2020-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401014750 | MI | Behavioral Health & Social Service Providers |
N | 104100000X | Social Worker | 6803063798 | MI | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | MCLAREN HEALTH PLAN, MCLAREN MEDICAID, MCLAREN HMO, MCLAREN HEAL | MHPC20131030 | 01 |
MI | BCBSM MENTAL HEALTH & SUBSTANCE ABUSE (65), PPO TRUST (55), TRAD | OA50081 | 01 |
MI | 20151209439760 | 05 | |
MI | MAGELLAN HEALTHCARE | MIS601220443 | 01 |
MI | HUMANA BEHAVIORAL HEALTH | 383SYS0617 | 01 |
MI | MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES | COUN18-99599 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1035 Boyne Ave, Boyne City, MI 497129110 | 2315471144 | 2315474970 |
321 S Park St, Boyne City, MI 497121527 | 2315471144 | 2315474970 |
4363 S Straits Hwy, Indian River, MI 497499457 | 2315471144 | 2315474970 |
500 N Spring St, Harbor Springs, MI 497401116 | 2315471144 | 2315474970 |
Street Address |
208 W LINCOLN ST |
City | CHARLEVOIX |
State | MI |
Zip Code | 49720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972130177 | Michael James Cebulski | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2020-03-26 |
1710477278 | Jilaine Towne-patton | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2018-05-10 |
1023538741 | Dennis J Kan | Social Worker | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2017-06-23 |
1962944769 | Tory Werth | Social Worker | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2016-11-09 |
1679958664 | David Scott Kelly | Counselor | 208 W Lincoln St, Charlevoix, MI 49720-1336 | 2015-07-20 |
1972982841 | Gerald Mcavoy | Counselor | 208 W Lincoln St, Charlevoix, MI 49720 | 2015-05-26 |
1790053270 | Bay Area Substance Education Services | Community/Behavioral Health | 208 W Lincoln St, Charlevoix, MI 49720 | 2011-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
1215587498 | Amanda Evans | Dietitian, Registered | 09210 North Pointe Woods Drive, Charlevoix, MI 49720 | 2019-09-18 |
1508229980 | Charlevoix Physicians Clinic | Specialist | 14709 W. Upright, Charlevoix, MI 49720 | 2016-04-01 |
1881014348 | Tracy Skinner | Social Worker | 220 W. Garfield Ave, Charlevoix, MI 49720 | 2014-04-23 |
1720414097 | Jennifer Jean Swenor | Occupational Therapist | 10270 Burnett Rd, Charlevoix, MI 49720 | 2013-09-18 |
1801171863 | Leslie Lukins | Pharmacist | 1500 Bridge Street, Charlevoix, MI 49720 | 2011-10-20 |
1164670949 | Northwest Michigan Community Health Agency | Hospice Care, Community Based | 220 W Garfield Street, Charlevoix, MI 49720 | 2008-09-04 |
1275722191 | Robert Dennis Cook | Pharmacist | 301 Bridge Street, Charlevoix, MI 49720 | 2007-10-16 |
1629191648 | Susan Mary Killam | Nurse Practitioner | Northwest Michigan Community Health Agency, 220 W. Garfield Street, Charlevoix, MI 49720 | 2007-04-06 |
1851410153 | Joelle M Beaudoin | Specialist/Technologist | 06510 M-66 N, Charlevoix, MI 49720 | 2007-03-28 |
Find all providers in zip 49720 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902264211 | Ann Hazelwood | Counselor | 203 E Upright St, Charlevoix, MI 49720-9551 | 2016-02-01 |
1487025573 | Cynthia Boss | Counselor | 1404 Bridge St, Charlevoix, MI 49720-2603 | 2015-10-14 |
1972982841 | Gerald Mcavoy | Counselor | 208 W Lincoln St, Charlevoix, MI 49720 | 2015-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073367 | Lisa Joanne Lindemann | Counselor | 764 Basswood Dr, Rochester Hills, MI 48309-1713 | 2020-11-08 |
1891396891 | Sonda Lasha Thomas | Counselor | 38 W Henry St, River Rouge, MI 48218-1359 | 2020-11-05 |
1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
1265032148 | Ashley Capaldi | Counselor | 8500 Oak Park Blvd, Oak Park, MI 48237-1848 | 2020-10-29 |
1538769542 | Sherie Justine Posie | Counselor | 16000 W 9 Mile Rd Ste 115, Southfield, MI 48075-4800 | 2020-10-28 |
1477152445 | True North Holistic Health and Wellness, LLC | Counselor | 5472 Belsay Rd, Grand Blanc, MI 48439-9129 | 2020-10-21 |
1881293819 | Breakthrough L.L.C. | Counselor | 38847 Parkview Dr, Clinton Twp, MI 48036-3826 | 2020-10-21 |
1790384998 | Amanda Nicole Lambert | Counselor | 1919 Gratiot Ave, Saginaw, MI 48602-2763 | 2020-10-20 |
1285233437 | Emmitt Melvin Davis Jr. | Counselor | 316 Morris Ave Ste 200, Muskegon, MI 49440-1154 | 2020-10-20 |
Find all providers with the same taxonomy |
City | CHARLEVOIX |
Zip Code | 49720 |
Please comment or provide details below to improve the information on CELIA PARTIDA KELLY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.