KELLY LYNN WILEY (NPI# 1043580459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043580459 |
Entity Type | Individual |
Full Name | KELLY LYNN WILEY |
Practice Address |
5929 N May Ave Ste 302 Box 37 Oklahoma City OK 73112-3909 |
Practice Telephone | 4058420500 |
Practice Fax Number | 4058420505 |
Mailing Telephone | 4058420500 |
Mailing Fax Number | 4058420505 |
Enumeration Date | 2012-01-03 |
Last Update Date | 2014-04-17 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200077440A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871820506 | Kelly Marie Wiley | Speech-Language Pathologist | 110 Hillside Dr, Forney, TX 75126-9702 | 2009-11-18 |
1144530544 | Kelly R Wiley | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-10-19 |
1912113184 | Kelly Ponder Wiley | Marriage & Family Therapist | 895 State Farm Rd, Suite 103, Boone, NC 28607-4917 | 2007-05-15 |
Street Address |
5929 N MAY AVE STE 302 BOX 37 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-3909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326009697 | Richard Keith Green | Psychologist | 5929 N May Ave, Suite 508, Oklahoma City, OK 73112-3909 | 2006-03-28 |
1952726101 | M Moore Enterprises PC | Counselor | 5929 N May Ave, Suite 300, Oklahoma City, OK 73112-3909 | 2014-02-25 |
1710309331 | Gail Parker | Counselor | 5929 N May Ave, Oklahoma City, OK 73112-3909 | 2014-01-16 |
1093137713 | Rene Takang | Counselor | 5929 N May Ave, Suite 302, Oklahoma City, OK 73112-3909 | 2014-01-15 |
1427489384 | Wyanna Jackson | Counselor | 5929 N May Ave, Suite 506, Oklahoma City, OK 73112-3909 | 2013-12-03 |
1104254622 | New Beginnings Counseling Services | Community/Behavioral Health | 5929 N May Ave, Oklahoma City, OK 73112-3909 | 2013-10-18 |
1366784662 | Brian L Carter | Case Manager/Care Coordinator | 5929 N May Ave, Suite #310, Oklahoma City, OK 73112-3909 | 2013-03-25 |
1255679759 | Toni Bridgette White | Case Manager/Care Coordinator | 5929 N May Ave, Oklahoma City, OK 73112-3909 | 2013-01-18 |
1447596192 | Kreative Behavioral Health Services | Case Management | 5929 N May Ave, Suite 218, Oklahoma City, OK 73112-3909 | 2012-12-28 |
1336403427 | Kreative Behavioral Health Services, LLC | Community/Behavioral Health | 5929 N May Ave, Suite 218, Oklahoma City, OK 73112-3909 | 2012-07-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73112 |
Please comment or provide details below to improve the information on KELLY LYNN WILEY.
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.