ROGER A KELLY (NPI# 1780876490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780876490 |
Entity Type | Individual |
Full Name | ROGER A KELLY |
Credential | PC |
Practice Address |
112 Hillvue Dr Butler PA 16001-3426 |
Practice Telephone | 7242870791 |
Practice Fax Number | 7242872730 |
Mailing Telephone | 7242870791 |
Mailing Fax Number | 7242872730 |
Enumeration Date | 2007-08-16 |
Last Update Date | 2007-08-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
PC000400 | PA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720187321 | Roger Bruce Kelly | Psychologist | 525 N 12th St Ste 100, Lemoyne, PA 17043-1244 | 2006-09-21 |
Street Address |
112 HILLVUE DR |
City | BUTLER |
State | PA |
Zip Code | 16001-3426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063410207 | Irene Stacy Community Mental Health Center | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2005-07-12 |
1629460621 | Mandip S. Sandhu | Psychiatry & Neurology | 112 Hillvue Dr, Butler, PA 16001-3426 | 2015-02-27 |
1497154058 | Shawna Martin | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2014-08-20 |
1477985604 | Mark Ernest Freeman | Physician Assistant | 112 Hillvue Dr, Butler, PA 16001-3426 | 2013-07-30 |
1588945398 | Amy Lynn Serrian | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2011-09-07 |
1831470160 | Kathleen D Ivory | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2011-08-31 |
1275813313 | Valerie Wolenter | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2011-08-21 |
1346578655 | Laurie Lynne Christy | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2009-11-24 |
1881927986 | Krystal G Schultz | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2009-09-08 |
1205057767 | Kathleen A Rodgers | Counselor | 112 Hillvue Dr, Butler, PA 16001-3426 | 2007-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407347842 | Sara Rae Saeler | Speech-Language Pathologist | Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 | 2018-05-22 |
1265937601 | Sang Chul Lee | Dentist | 222 W Cunningham St Ste 106, Butler, PA 16001 | 2018-03-27 |
1255850251 | Kristin Michelle Mohler | Nurse Practitioner | 353 N. Duffy Rd, Butler, PA 16001 | 2017-09-12 |
1164977096 | Jessica Rossman | Optometrist | 120 Hollywood Dr Ste 102, Butler, PA 16001 | 2016-08-21 |
1801244355 | The Care Center | Case Management | 115-121 East North Street, Butler, PA 16001 | 2016-05-25 |
1912385287 | Jennifer Marie Nelson | Registered Nurse | 121 Sawmill Ln, Butler, PA 16001 | 2015-05-07 |
1659799427 | Kelli M. Ruby | Psychiatry & Neurology | 901 E Brady St Ste 103, Butler, PA 16001 | 2014-03-31 |
1942627815 | Good Choices Counseling, LLC | Social Worker | 1022a North Main Street Extension, Butler, PA 16001 | 2014-03-27 |
1821415068 | Jill Charlene Ferguson | Counselor | 200 Renaissance Drive, Suite 301, Butler, PA 16001 | 2014-03-26 |
1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
Find all providers in zip 16001 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164056628 | Kathy Joan Glasgow | Counselor | 127 Elizabeth Dr, Butler, PA 16001-2758 | 2020-02-24 |
1962045351 | Desiree Loren Schaffner | Counselor | 200 Renaissance Dr Ste 301, Butler, PA 16001-7612 | 2019-10-18 |
1922469717 | Patricia Scott | Counselor | 114 Piercetown Rd, Suite 105, Butler, TN 37640-8068 | 2016-03-08 |
1578928727 | Jennifer Lorraine Brosenitsch | Counselor | 101 Oak Ridge Dr Ste E, Butler, PA 16002 | 2015-12-15 |
1568836104 | Progressive Counseling & Consulting, LLC | Counselor | 208 Camelot Dr, Butler, PA 16001-2796 | 2015-11-19 |
1417325929 | Jennifer Snow | Counselor | 105 Crossland Rd, Butler, PA 16002-1101 | 2015-09-14 |
1891176889 | Michael Watterson | Counselor | 205 S Duffy Rd, Ste B, Butler, PA 16001-2789 | 2015-06-15 |
1689051930 | Thomas Perdian | Counselor | 115 Hunter Ridge Rd, Butler, PA 16001-8031 | 2015-05-06 |
1922435668 | Sarah J Wagner | Counselor | 371 North Main Street, Second Floor, Butler, PA 16001 | 2013-09-26 |
1043554660 | Susan Lynn Roop | Counselor | 1227 Sunset Dr, Butler, PA 16001-0781 | 2012-11-20 |
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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.