KELLY RAE HARRIS (NPI# 1932231032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932231032 |
| Entity Type | Individual |
| Full Name | KELLY RAE HARRIS |
| Credential | M.B.S. |
| Practice Address |
2510 Chickasaw Blvd. Medical Family Therapy Ardmore OK 73401 |
| Mailing Address |
210 E. Main St. Resource Management Ada OK 74820 |
| Practice Telephone | 5802268181 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804367211 |
| Mailing Fax Number | 5802725757 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 3897 | OK | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199057 | Kelly M Harris | Counselor | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2019-11-19 |
| 1316590755 | Kelly Harris | Dentist | 9110 W Tropicana Ave Unit 393, Las Vegas, NV 89147-8764 | 2019-07-23 |
| 1801331715 | Kelly Harris | Technician, Other | 9266 Louis, Redford, MI 48239-1732 | 2017-01-01 |
| 1669827697 | Kelly Wolenberg Harris | Student in an Organized Health Care Education/Training Program | 3600 Forbes Ave Bldg Suite405, Pittsburgh, PA 15213-3410 | 2016-04-27 |
| 1851753255 | Kelly Rae Harris | Registered Nurse | 16515 S 40th St Ste 135, Phoenix, AZ 85048-0560 | 2016-03-24 |
| 1982904314 | Kelly Harris | Counselor | 631 Arbor Road, Winston-salem, NC 27104 | 2010-11-02 |
| 1184830648 | Kelly Jo Harris | Speech-Language Pathologist | 961 Brunswick Cir, Schaumburg, IL 60193-4250 | 2007-05-14 |
| 1326168956 | Kelly Marie Harris | Speech-Language Pathologist | 404 Sw Talquin Ln, Port Saint Lucie, FL 34986-2062 | 2007-03-29 |
| 1760528491 | Kelly M Harris | Speech-Language Pathologist | 1524 S Big Bend Blvd, Saint Louis, MO 63117-2206 | 2007-01-29 |
| 1851467559 | Kelly D Harris | Chiropractor | 211 S Woodruff Ave Ste B, Idaho Falls, ID 83401-4369 | 2006-11-27 |
| Street Address |
2510 CHICKASAW BLVD. MEDICAL FAMILY THERAPY |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427428630 | Jaree Michelle Grant | Social Worker | 2510 Chickasaw Blvd., Chickasaw Nation Ardmore Health Clinic, Ardmore, OK 73401 | 2015-09-30 |
| 1265741615 | Claire Constance Thompson | Counselor | 2510 Chickasaw Blvd., Medical Family Therapy, Ardmore, OK 73401 | 2010-10-04 |
| 1952505976 | Dawna Kaye Dickson | Counselor | 2510 Chickasaw Blvd., Chickasaw Nation Ardmore Health Clinic, Ardmore, OK 73401 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942862669 | Maureen Sandra Boyle Cieri | Counselor | 133 Coulter Ave Ste 1, Ardmore, PA 19003-2416 | 2019-07-02 |
| 1720544836 | Oklahoma Families First Inc | Counselor | 333 W Main St Ste 230, Ardmore, OK 73401-6320 | 2019-02-13 |
| 1124534565 | Tracie Owen | Counselor | 333 W Main St Ste 210, Ardmore, OK 73401-6320 | 2017-12-21 |
| 1841651759 | Inna Cubara | Counselor | 213 Church Rd, Ardmore, PA 19003-3301 | 2016-03-19 |
| 1477910669 | Shelley Clements | Counselor | 336 Beaumont Dr., Ardmore, OK 73401-9112 | 2016-01-20 |
| 1811386238 | Morgan Mcgee | Counselor | 723 Davis St Nw, Ardmore, OK 73401-1515 | 2015-01-22 |
| 1720496417 | Roberta Morriss | Counselor | 1207 Hailey St Sw, Ardmore, OK 73401-5315 | 2014-07-26 |
| 1316358815 | Sherry Leamy | Counselor | 1150 W Broadway, 401, Ardmore, OK 73401 | 2014-05-19 |
| 1336561190 | Mary Lynn Wood | Counselor | 4011 Rolling Hills Dr, Ardmore, OK 73401-9313 | 2014-01-14 |
| 1588096564 | Stephanie Carey | Counselor | 621 M St Sw, Ardmore, OK 73401-3261 | 2013-08-01 |
| Find all providers in ARDMORE | ||||
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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.