KELLY LYN MARLEY-SMITH (NPI# 1558558056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558558056 |
Entity Type | Individual |
Full Name | KELLY LYN MARLEY-SMITH |
Credential | LPC |
Practice Address |
1425 W Elliot Rd Suite 201 Gilbert AZ 85233-5129 |
Mailing Address |
4034 E Los Altos Dr Gilbert AZ 85297-3567 |
Practice Telephone | 4806959092 |
Mailing Telephone | 4806959092 |
Enumeration Date | 2007-09-27 |
Last Update Date | 2015-12-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LPC11065 | AZ | Behavioral Health & Social Service Providers |
Street Address |
1425 W ELLIOT RD SUITE 201 |
City | GILBERT |
State | AZ |
Zip Code | 85233-5129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891768693 | Katherine Ellen Krieg | Pediatrics | 1425 W Elliot Rd, Gilbert, AZ 85233-5129 | 2006-02-10 |
1326600578 | Alexandria Dickerson | Specialist/Technologist | 1425 W Elliot Rd, Gilbert, AZ 85233-5129 | 2019-07-08 |
1124572607 | Kerry Failoni | Counselor | 1425 W Elliot Rd, 207, Gilbert, AZ 85233-5129 | 2016-08-12 |
1528454329 | Kristen Baker | Social Worker | 1425 W Elliot Rd, Suite 204, Gilbert, AZ 85233-5129 | 2015-04-09 |
1710125042 | Sportsdocs Family Chiropractic Group, Inc | Chiropractor | 1425 W Elliot Rd, Suite 203, Gilbert, AZ 85233-5129 | 2009-01-23 |
1114171550 | Nicole M Heim | Counselor | 1425 W Elliot Rd, Suite 201, Gilbert, AZ 85233-5129 | 2008-11-12 |
1689839672 | Justin Gomez | Chiropractor | 1425 W Elliot Rd, Suite 203, Gilbert, AZ 85233-5129 | 2008-07-19 |
1235303744 | Loth Sports & Family Chiropractic Inc | Chiropractor | 1425 W Elliot Rd, Suite 203, Gilbert, AZ 85233-5129 | 2008-04-15 |
1447467931 | Childrens Oasis Pediatrics | Pediatrics | 1425 W Elliot Rd, Suite 204, Gilbert, AZ 85233-5129 | 2007-05-16 |
1366658288 | Stacy Lynn Riseborough | Naturopath | 1425 W Elliot Rd, Suite A-203, Gilbert, AZ 85233-5129 | 2007-05-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
Find all providers in zip 85233 |
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 |
---|---|---|---|---|
1952902298 | Karissa Lynn Whitlatch | Counselor | 3651 E Baseline Rd Ste E120, Gilbert, AZ 85234-2689 | 2020-11-03 |
1598382020 | Catherine Ann Freese Hunter | Counselor | 3624 E Gideon Way, Gilbert, AZ 85296-2871 | 2020-06-30 |
1760953517 | Heather Suggs | Counselor | 3683 E Del Rio St, Gilbert, AZ 85295-4664 | 2018-12-05 |
1326547282 | Pablo A Kusak | Counselor | 3573 S 158th Pl Bldg B, Gilbert, AZ 85297-2046 | 2018-02-06 |
1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
1689050155 | Amanda Overson | Counselor | 4030 E Wagon Cir, Gilbert, AZ 85297-8394 | 2015-08-06 |
1548698913 | Amy Fife | Counselor | 690 E Warner Rd Ste 115, Gilbert, AZ 85296-3056 | 2013-10-23 |
1891004081 | Harrison Crawford | Counselor | 3449 E Kesler Ln, Gilbert, AZ 85295-7651 | 2010-10-05 |
1497900567 | Ellen Nordskog Mcdow | Counselor | 2563 S Val Vista Dr Ste 108, Gilbert, AZ 85295-6231 | 2008-11-17 |
1558517268 | Guillermo D. Robles | Counselor | 1325 E Mineral Rd, Gilbert, AZ 85234-4808 | 2008-08-13 |
Find all providers in GILBERT |
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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.