KELLI J JERAY (NPI# 1114582491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114582491 |
| Entity Type | Individual |
| Full Name | KELLI J JERAY |
| Credential | MA LPC |
| Practice Address |
3256 Southern Dr Ste 461 Garland TX 75043-1533 |
| Mailing Address |
970 W Yellowjacket Ln Apt 516 Rockwall TX 75087-4841 |
| Practice Telephone | 4695601635 |
| Mailing Telephone | 4695601634 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
74573 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3256 SOUTHERN DR STE 461 |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225535644 | Room for Change | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2018-04-11 |
| 1316557648 | Mayra Martinez | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2020-08-02 |
| 1275160277 | Michele Kay Bhagat | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2020-03-27 |
| 1639705593 | Steven Makulinski | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2020-03-22 |
| 1972159739 | Counseling Evolved, Pllc | Clinic/Center | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2019-08-16 |
| 1487128906 | Lisa A Epstein | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2019-01-17 |
| 1538642525 | Marvin Dale Bellows II | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2018-09-14 |
| 1881171817 | Alexandra Eleanor Jodaitis-rodriguez | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2018-07-23 |
| 1205320843 | Kimberly Ann Parker | Counselor | 3256 Southern Dr Ste 461, Garland, TX 75043-1533 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887466 | Marquetta Harris | Counselor | 3508 Boxwood Dr, Garland, TX 75040-8798 | 2020-06-26 |
| 1043849003 | Kylie Ball | Counselor | 3256 Southern Dr, Garland, TX 75043-1679 | 2020-04-02 |
| 1821642950 | Angelo Isip Abella | Counselor | 3301 Excalibur Cir, Garland, TX 75044-3625 | 2019-07-26 |
| 1801455985 | Denise Thornton | Counselor | 1701 Dalewood Trl, Garland, TX 75040-4478 | 2019-06-11 |
| 1306336276 | Alicia Muhammad | Counselor | 1414 Bob White Dr, Garland, TX 75040-8214 | 2018-05-15 |
| 1164939559 | Lakisha Tolbert | Counselor | 2721 Phillips Dr, Garland, TX 75044-3731 | 2018-01-07 |
| 1386003242 | Nicholas T Jewell Jr. | Counselor | 3708 Boxwood Dr, Garland, TX 75040-0970 | 2016-02-19 |
| 1942552690 | Arthur David Mallinson | Counselor | 5242 Turtle Cove Rd, Garland, TX 75044-4930 | 2012-10-04 |
| 1710265178 | Pamela Johnson | Counselor | 5425 N Garland Ave, Suite 140, Pmb-201, Garland, TX 75040-2718 | 2011-08-02 |
| 1235455692 | Teri Holamon | Counselor | 707 W Avenue D, Garland, TX 75040-7001 | 2010-04-09 |
| Find all providers in GARLAND | ||||
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| 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.