BRENDA KELLEY (NPI# 1609185289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609185289 |
| Entity Type | Individual |
| Full Name | BRENDA KELLEY |
| Credential | LPC U/S |
| Practice Address |
1719 Sw 11th St Lawton OK 73501-7305 |
| Practice Telephone | 5805811818 |
| Mailing Telephone | 5805811818 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
U/S | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063605657 | Brenda Kay Kelley | Physical Therapy Assistant | 1408 E Harrison St, Kirksville, MO 63501-3242 | 2007-08-27 |
| 1003895251 | Brenda Kelley | Specialist | 1003 Evergreen Dr, Jonesboro, AR 72401-9783 | 2006-01-14 |
| 1356992036 | Brenda V Kelley | Counselor | 2644 30th St Ste 100, Santa Monica, CA 90405-3051 | 2019-09-24 |
| 1861888414 | Brenda Kelley | Physician Assistant | 500 E Robinson St, Suite 300, Norman, OK 73071-6697 | 2015-04-10 |
| 1235479288 | Brenda Kelley | Counselor | 1101 E Monroe Ave, Mcalester, OK 74501-4815 | 2013-02-27 |
| 1538361175 | Brenda (none) Kelley | Registered Nurse | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2007-06-05 |
| Street Address |
1719 SW 11TH ST |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992748990 | Katie Burk | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2006-06-14 |
| 1669072120 | Tashina Ototivo | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2020-10-26 |
| 1326491275 | Amanda Alexander | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-07-15 |
| 1003276213 | Robert Lee | Marriage & Family Therapist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-03-01 |
| 1770941684 | Sunshine Fixico | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-02-05 |
| 1689030785 | Carmela Rendina | Social Worker | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2016-01-06 |
| 1639555626 | Reanna Johnson | Marriage & Family Therapist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2015-08-03 |
| 1518374909 | Matthew Stewart | Counselor | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2014-07-17 |
| 1508100926 | Multi-county Counseling Center | Case Management | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-11-26 |
| 1093063836 | Elizabeth Ayala | Psychologist | 1719 Sw 11th St, Lawton, OK 73501-7305 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343829 | Paul Gerard Adams | Counselor | 5529 Nw Eisenhower Dr, Lawton, OK 73505-5826 | 2019-02-25 |
| 1790277259 | Powers Powers & Slagle LLC | Counselor | 1930 Nw Ferris Ave Ste 4, Lawton, OK 73507-5629 | 2018-05-31 |
| 1316300429 | Misty Dawn Watkins | Counselor | 2414 Nw Norman Cir, Lawton, OK 73505-1417 | 2016-04-05 |
| 1740665686 | Andrea Vangorder | Counselor | 910 Sw E Ave, Lawton, OK 73501-4593 | 2015-07-21 |
| 1396170791 | Anke Peyton | Counselor | 563 Sunset Dr, Lawton, OK 73507-7164 | 2013-09-05 |
| 1699115139 | Steven Michael Fuller | Counselor | 4202 Sw Lee Blvd., Park Ridge Professional Center, Lawton, OK 73505 | 2013-06-28 |
| 1407193550 | Wanda Denice Smith | Counselor | 2416 Sw Oxford Dr, Lawton, OK 73505-0802 | 2013-01-09 |
| 1083968085 | Doletha Brown | Counselor | 7803 Nw Morrocco Rd, Lawton, OK 73505-1122 | 2012-10-30 |
| 1861742868 | Latoria M Miller | Counselor | 2208 Sw Edinburough Dr, Lawton, OK 73505-0849 | 2012-09-17 |
| 1043575947 | Lillian L Bell | Counselor | 1510 Se Walnut Creek Rd, Lawton, OK 73501-8327 | 2012-07-07 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on BRENDA KELLEY.
| 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.