JOCELYN KELLY (NPI# 1003351446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003351446 |
| Entity Type | Individual |
| Full Name | JOCELYN KELLY |
| Practice Address |
1735 Saint Julian Pl Suite 102 Columbia SC 29204-2402 |
| Mailing Address |
430 Kettering Ct Columbia SC 29210-4200 |
| Practice Telephone | 8037085081 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922254754 | Jocelyn Kelly | Speech-Language Pathologist | 2150 Barratt Ct, Saint Cloud, FL 34771-8899 | 2008-08-12 |
| 1184282873 | Jocelyn Kelly | Social Worker | 2 N Dundalk Ave, Dundalk, MD 21222-4221 | 2019-05-29 |
| Street Address |
1735 SAINT JULIAN PL SUITE 102 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494915 | Kiara Harris | Case Manager/Care Coordinator | 1735 Saint Julian Pl, Columbia, SC 29204-2402 | 2016-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| 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 |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1407491830 | Mariah Keathley | Counselor | 201 W Broadway Ste 2f, Columbia, MO 65203-3842 | 2019-11-08 |
| 1962058719 | Lindsey Howard | Counselor | 610 Poplar St, Columbia, PA 17512-2101 | 2019-08-16 |
| 1174085138 | Debra A Parker | Counselor | 100 Ashland Park Ln Ste K, Columbia, SC 29210-5100 | 2019-04-01 |
| 1881152817 | Change Your Reality | Counselor | 729 True St Apt 3, Columbia, SC 29209-1659 | 2019-03-08 |
| 1104393487 | Makida Bey | Counselor | 9850 Softwater Way, Columbia, MD 21046-1887 | 2018-10-25 |
| 1942788542 | Holistic Health Advancements, LLC | Counselor | 9005 Two Notch Rd Ste 4, Columbia, SC 29223-5851 | 2018-08-06 |
| 1811483761 | Live.balanced.life.llc | Counselor | 5305 Village Center Dr Ste 176, Columbia, MD 21044-2382 | 2018-07-03 |
| 1053811729 | Sarah Ann Galatta | Counselor | 2024 Cherry Hill Dr # 201c, Columbia, MO 65203-5921 | 2018-02-19 |
| Find all providers in COLUMBIA | ||||
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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.