KELLEY BAILEY, PLLC (NPI# 1255871703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255871703 |
| Entity Type | Organization |
| Organization Name | KELLEY BAILEY, PLLC |
| Practice Address |
3325 French Park Dr Suite 9 Edmond OK 73034-7277 |
| Practice Telephone | 4054741813 |
| Mailing Telephone | 4054741813 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | KELLEY R BAILEY (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 4054741813 |
| Authorized Official Credential | M.ED., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6232 | OK | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
6232 | OK | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 6232 | OK | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 6232 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200538400A | 05 |
| Street Address |
3325 FRENCH PARK DR SUITE 9 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790197747 | Arbor Village Nursing, LLC | Skilled Nursing Facility | 3325 French Park Dr, Suite 6, Edmond, OK 73034-7277 | 2014-05-27 |
| 1477919959 | Heartsworth Senior Living, LLC | Assisted Living Facility | 3325 French Park Dr, Edmond, OK 73034-7277 | 2016-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1437666260 | Louis Alexander Marull | Counselor | 15704 Traditions Dr, Edmond, OK 73013-1149 | 2018-01-02 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1922547348 | Madison Blair Hinson | Counselor | 213 Elwood Dr, Edmond, OK 73013-5212 | 2017-02-17 |
| 1891247102 | Tia Goosby | Counselor | 15901 Vintage Dr, Edmond, OK 73013-1417 | 2016-11-03 |
| 1265988463 | Desmond Nkefua | Counselor | 920 South Boulevard Suit 103, Edmond, OK 73034 | 2016-08-28 |
| 1598123374 | Ohnre Whaley | Counselor | 15209 Himalaya Rdg, Edmond, OK 73013-9208 | 2016-02-08 |
| 1033580055 | Monica Brown | Counselor | 809 Nw 142nd St, Edmond, OK 73013-1962 | 2015-10-16 |
| 1336536051 | Rotasha Lewis | Counselor | 1919 E Second St, Edmond, OK 73034 | 2015-04-21 |
| 1720477565 | Kimberly Magee | Counselor | 16008 Evan Shaw Ct, Edmond, OK 73013-7519 | 2015-01-16 |
| 1104229566 | Amir Salami I | Counselor | 2001 Shamrock Dr, Edmond, OK 73003-4707 | 2014-09-30 |
| Find all providers in EDMOND | ||||
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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.