COLLEEN KELLY (NPI# 1982068474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982068474 |
| Entity Type | Individual |
| Full Name | COLLEEN KELLY |
| Credential | M.S.W. |
| Practice Address |
3208 Lake Park Way 105 Longmont CO 80503-7822 |
| Practice Telephone | 7739199310 |
| Mailing Telephone | 7739199310 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451980 | Colleen Anne Kelly | Student in an Organized Health Care Education/Training Program | Menino Building, Dowling 3 South Resident Mailboxes, 1 Boston Medical Center Place, Boston, MA 02118 | 2018-03-20 |
| 1023498565 | Colleen Emma Kelly | Behavioral Analyst | 48 Aberdeen Rd, Arlington, MA 02476-5752 | 2015-05-29 |
| 1386714590 | Colleen J Kelly | Nurse Practitioner | Walton High School, 2780 Reservoir Avenue, Bronx, NY 10468 | 2006-11-08 |
| 1801839121 | Colleen Elizabeth Kelly | Pediatrics | 21 Totman Street, #2, Quincy, MA 02169 | 2006-06-14 |
| 1205440591 | Colleen Kelly | Social Worker | 7701 13th Ave, Brooklyn, NY 11228-2413 | 2020-09-03 |
| 1265068696 | Colleen Kelly | Physical Therapist | 460 Amherst St, Nashua, NH 03063-1220 | 2020-03-17 |
| 1790320414 | Colleen Kelly | Occupational Therapist | 3761 Knollcroft St, Easton, PA 18045-3026 | 2019-11-18 |
| 1407400419 | Colleen Lora Jaimie Kelly | Nurse Practitioner | 2111 Neuse Blvd Ste J, New Bern, NC 28560-4318 | 2019-07-29 |
| 1811457815 | Colleen Hamm Kelly | Surgery | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2019-03-25 |
| 1083196968 | Colleen Kelly | Physician Assistant | 170 William St, New York, NY 10038-2612 | 2018-09-06 |
| Street Address |
3208 LAKE PARK WAY 105 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696972 | Rachel Christine Cheatle | Counselor | 320 Sumner St, Longmont, CO 80501-4831 | 2020-10-12 |
| 1982225413 | Yamy Skocen | Counselor | 805 Summer Hawk Dr Apt Y145, Longmont, CO 80504-8828 | 2020-05-06 |
| 1659902070 | Brittany Foust | Counselor | 4157 Nelson Rd, Longmont, CO 80503-9005 | 2020-02-04 |
| 1033749965 | Allison Rita Novak | Counselor | 1225 Ken Pratt Blvd Unit 206, Longmont, CO 80501-9017 | 2020-01-20 |
| 1588218564 | Brandi Dawn Garner | Counselor | 1813 Spruce Ave, Longmont, CO 80501-4755 | 2019-07-29 |
| 1114585437 | Andrea Anderson | Counselor | 5629 Prospect Rd, Longmont, CO 80503-9047 | 2019-06-01 |
| 1578024915 | Caitlyn Alexandra Walker | Counselor | 515 Coffman St, Longmont, CO 80501-5455 | 2019-03-28 |
| 1629535240 | Jay E Valusek | Counselor | 3126 Spinnaker Dr, Longmont, CO 80503-7866 | 2019-03-01 |
| 1417425984 | Natalie Jean Teeters | Counselor | 1715 Iron Horse Dr Ste 250-5, Longmont, CO 80501-9753 | 2018-11-02 |
| 1912481631 | Paula De Oliveira Santos | Counselor | 1361 Francis St Ste 201d, Longmont, CO 80501-2545 | 2018-09-18 |
| Find all providers in LONGMONT | ||||
Please comment or provide details below to improve the information on COLLEEN 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.