MRS. KELLY BENDER (NPI# 1174623201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174623201 |
| Entity Type | Individual |
| Full Name | MRS. KELLY BENDER |
| Credential | LPC |
| Practice Address |
1922 N Eastern Ave Moore OK 73160-5605 |
| Mailing Address |
1624 Creekside Ln Norman OK 73071-1306 |
| Practice Telephone | 4053258945 |
| Practice Fax Number | 4057355265 |
| Mailing Telephone | 4053268945 |
| Mailing Fax Number | 4057355265 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3204 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871028779 | Kelly Bender | Registered Nurse | 2166 Arcanum Ithaca Rd, Arcanum, OH 45304-9401 | 2017-04-27 |
| 1093266603 | Kelly Bender | Chiropractor | 2609 Northcrest Dr, Plano, TX 75075-8139 | 2016-10-18 |
| 1174080279 | Kelly Bender | Physical Therapist | 800 E Gate Blvd, Garden City, NY 11530-2105 | 2019-02-25 |
| 1417348632 | Kelly Irene Bender | Counselor | 3737 Marconi Ave, Sacramento, CA 95821 | 2015-02-10 |
| 1780005967 | Kelly Bender | Naturopath | 13323 W Washington Blvd, Suite #202, Los Angeles, CA 90066-5170 | 2013-12-14 |
| Street Address |
1922 N EASTERN AVE |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457688012 | Robert Dwain Bundrick | Counselor | 1922 N Eastern Ave, Moore, OK 73160-5605 | 2009-11-03 |
| 1417016577 | Judith Elizabeth Hall | Counselor | 1922 N Eastern Ave, Moore, OK 73160-5605 | 2006-12-06 |
| 1346332319 | Irwin Hall IIi | Counselor | 1922 N Eastern Ave, Moore, OK 73160-5605 | 2006-09-28 |
| 1972604171 | Mariposa Counseling, Inc. | Counselor | 1922 N Eastern Ave, Moore, OK 73160-5605 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1043874530 | Tahereh Marisa Ryland-neal | Counselor | 620 Nw 5th St, Moore, OK 73160-3948 | 2019-04-30 |
| 1538722558 | Martina Dale Krupinski | Counselor | 620 Nw 5th St Ste D, Moore, OK 73160-3947 | 2019-04-16 |
| 1174097604 | Crystal A Hawkins | Counselor | 802 Ne 19th St, Moore, OK 73160-6302 | 2019-01-17 |
| 1831678838 | Alisha S Carson | Counselor | 1508 Sequoyah St, Moore, OK 73160-6530 | 2018-08-09 |
| 1508367442 | Talina Marie Davisenn | Counselor | 1032 Nw 18th St, Moore, OK 73160-1440 | 2018-02-26 |
| 1811417249 | Stacey Schinske | Counselor | 201 N Broadway St Ste 100, Moore, OK 73160-5135 | 2017-06-27 |
| 1831636273 | Micheal Carrington | Counselor | 811 Delmar Cir, Moore, OK 73160-6504 | 2017-01-24 |
| 1982156345 | Randi Bock | Counselor | 908 Sw 1st St, Moore, OK 73160-2206 | 2016-11-01 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| Find all providers in MOORE | ||||
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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.