CHRISTY KELSHAW


Address: 845 W Center St, Suite C, Pocatello, ID 83204-4205
Phone: 2084784642

CHRISTY KELSHAW (NPI# 1871654798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871654798
Entity Type Organization
Organization Name CHRISTY KELSHAW
Practice Address 845 W Center St
Suite C
Pocatello
ID 83204-4205
Practice Telephone 2084784642
Practice Fax Number 2082328001
Mailing Telephone 2084784642
Mailing Fax Number 2082328001
Enumeration Date 2006-12-13
Last Update Date 2020-08-22
Authorized Official Name MS. CHRISTY KELSHAW (COUNSELOR)
Authorized Official Telephone 2084784642
Authorized Official Credential MACOUN, LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LCPC-2812 ID Behavioral Health & Social Service Providers

Office Location

Street Address 845 W CENTER ST
SUITE C
City POCATELLO
State ID
Zip Code 83204-4205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912906553 Alison Stocks Family Medicine 845 W Center St, Suite 200, Pocatello, ID 83204-4205 2005-07-15
1578850400 Christa Santos-smith Counselor 845 W Center St, Suite C, Pocatello, ID 83204-4205 2011-06-29
1184917346 Shannon Lavon Brown Social Worker 845 W Center St, Suite 200, Pocatello, ID 83204-4205 2011-05-20
1285868125 Stacy Jo Pray Counselor 845 W Center St, Suite C, Pocatello, ID 83204-4205 2009-05-06
1457502700 Nancy Goodman Counselor 845 W Center St, Suite 306, Pocatello, ID 83204-4205 2008-10-06
1053580308 Kathleen M Condon Psychologist 845 W Center St, Suite 200, Pocatello, ID 83204-4205 2008-02-20
1194993550 James Vonbusch Counselor 845 W Center St, Suite C, Pocatello, ID 83204-4205 2008-02-19
1336321181 Jami Sue Price Physician Assistant 845 W Center St, Suite 200, Pocatello, ID 83204-4205 2007-12-04
1831132232 Ty A Salness Internal Medicine 845 W Center St, Suite 200, Pocatello, ID 83204-4205 2006-06-14
1215929690 David E Martin Physician Assistant 845 W Center St, Suite 200, Pocatello, ID 83204-4205 2005-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568974541 Daniel Graham Rasmussen Social Worker 335 N. Main, Pocatello, ID 83204 2017-10-30
1801311246 Thomas Henrie Specialist/Technologist 3960 Stockman Rd., Pocatello, ID 83204 2017-08-07
1750803110 David Tim Williams Counselor 224 S. Arthur Suite 2, Pocatello, ID 83204 2017-07-07
1023441185 Insight Occupational Therapy, LLC Occupational Therapist 158 N Main St., Pocatello, ID 83204 2013-08-13
1679816912 A New Hope, LLC Day Training, Developmentally Disabled Services 19b Mountain Dr, Pocatello, ID 83204 2013-04-05
1790032431 Wynnona Sarah Warren Pharmacist 911 North Main Street, Pocatello, ID 83204 2012-08-13
1902110380 Belmont Management, Inc. Intermediate Care Facility, Mentally Retarded 6150 S. 5th Ave, Pocatello, ID 83204 2010-07-28
1104066539 Rachel Ann Seibold Speech-Language Pathologist 1254 Swisher Rd, Pocatello, ID 83204 2009-02-25
1710163803 Allen Bennett Martin Clinic/Center 540 South Garfield, Pocatello, ID 83204 2008-01-18
1174711758 Rsm Pa Pllc Physician Assistant 1595 Bannock Hwy, Pocatello, ID 83204 2007-10-09
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669081311 Catherine Leavitt Counselor 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 2020-07-29
1407363690 Kimberly B Rasmussen, Pllc Counselor 850 E Center St Ste F, Pocatello, ID 83201-5737 2018-01-09
1508396714 Steven Richard Miner Counselor 440 E Clark St Ste A, Pocatello, ID 83201-6308 2017-06-20
1306210398 Amanda Bland Counselor 1133 Rowland Rd, Pocatello, ID 83204-7416 2015-11-14
1962804757 Gary Sean Redford Counselor 12930 N Rio Vista Rd, Pocatello, ID 83202-5007 2014-09-23
1750781449 Jennifer Lynn Seaich Counselor 4460 Center Way, Center Counseling, Pocatello, ID 83202 2014-08-29
1437585189 Shayla F Ward Counselor 459 S Arthur Ave, Pocatello, ID 83204-3303 2013-09-25
1366781262 Gail Taylor Thorngren Counselor 201 E Center St Ste B, Pocatello, ID 83201-6339 2013-02-12
1851650691 Christine Collaer-muzzo Counselor 120 S 12th Ave Ste 4, Pocatello, ID 83201-4814 2012-05-14
1164780706 Kimberly Jo Andrew Counselor 421 E Oak St, Pocatello, ID 83201-4601 2012-05-02
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Competitor

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City POCATELLO
Zip Code 83204

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Dataset Information

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.

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