EPHRAIM KELLEY (NPI# 1013327022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013327022 |
| Entity Type | Individual |
| Full Name | EPHRAIM KELLEY |
| Practice Address |
2800 N. Rockwell Ave. Bethany OK 73008 |
| Practice Telephone | 4059334581 |
| Mailing Telephone | 4059334581 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C081932107 | OK | Behavioral Health & Social Service Providers |
| Street Address |
2800 N. ROCKWELL AVE. |
| City | BETHANY |
| State | OK |
| Zip Code | 73008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| 1326333162 | Susan F Naylor | Counselor | 3621 N. Kelley Ave., Suite 100, Oklahoma City, OK 73008 | 2011-06-09 |
| Find all providers in zip 73008 | ||||
| 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 |
|---|---|---|---|---|
| 1740733005 | Carolyn Lance | Counselor | 4506 N College Ave, Bethany, OK 73008-2639 | 2016-08-03 |
| 1376947606 | Bryan D Bell | Counselor | 4216 N Redmond Ave, Bethany, OK 73008-2842 | 2014-10-15 |
| 1801213624 | Aundrea Reed | Counselor | 5019 N Rockwell Ave, Bethany, OK 73008-2443 | 2014-03-19 |
| 1346586401 | Johnna Nkwonta | Counselor | 7132 Nw 21st St, Bethany, OK 73008-5715 | 2012-12-18 |
| 1861761306 | Michael G. Laurent | Counselor | 6720 Nw 32nd St, Bethany, OK 73008-3904 | 2011-12-28 |
| 1841300613 | Cynthia M Brady PC | Counselor | 7006 Nw 63rd, Suite 204, Bethany, OK 73008-1953 | 2006-08-30 |
| 1851790380 | Joanna Lambert, LLC | Counselor | 3908 N Peniel Ave, Ste. 420, Bethany, OK 73008-3458 | 2014-08-20 |
| 1538417613 | Courtney E Trudeau | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2012-08-21 |
| 1982918439 | Sarah Shoffstall | Counselor | 7908 Nw 23rd St, Bethany, OK 73008-4950 | 2010-07-27 |
| 1215109897 | Rebecca Kathleen Ragland | Counselor | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2008-03-24 |
| Find all providers in BETHANY | ||||
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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.