KELLI MABRY (NPI# 1932481330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932481330 |
| Entity Type | Individual |
| Full Name | KELLI MABRY |
| Credential | BHRS |
| Practice Address |
301 E Main Suite 3 Wilburton OK 74501-2314 |
| Mailing Address |
6251 Sw 1070th Ave Wilburton OK 74578-7714 |
| Practice Telephone | 9184650300 |
| Practice Fax Number | 9184650300 |
| Mailing Telephone | 9182304310 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2012-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200049040 | 05 |
| Street Address |
301 E MAIN SUITE 3 |
| City | WILBURTON |
| State | OK |
| Zip Code | 74501-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700277704 | Melonie Jackson | Counselor | 700 Nw 1018th Ave, Wilburton, OK 74578-6605 | 2015-02-11 |
| 1841692019 | Crystal Renee Toland | Counselor | 2856 Nw 1050th Ave, Wilburton, OK 74578-6626 | 2014-09-19 |
| 1861803132 | Mendi Leighane Mcalester | Counselor | 2550 Se 150th Rd, Wilburton, OK 74578-7733 | 2014-05-08 |
| 1790123297 | Catherine Sonaggera Knight | Counselor | 6614 Nw 1035th Ave, Wilburton, OK 74578-6608 | 2013-06-06 |
| 1265788368 | Jennifer Houston | Counselor | 608 Sw 12th St, Wilburton, OK 74578-4810 | 2012-07-26 |
| 1477824704 | Jody Mckay | Counselor | 206 W Caddo Ave, Wilburton, OK 74578-2427 | 2012-01-18 |
| 1427327055 | Rebecca K Weeks | Counselor | 301 E Main St Ste 3, Wilburton, OK 74578-4415 | 2011-12-28 |
| 1528335700 | Kirsten Kalynn Reding | Counselor | 312 Nw 7th St, Wilburton, OK 74578-3416 | 2011-11-16 |
| 1255536454 | Gary Nelson | Counselor | Rr 3 Box 1230, Wilburton, OK 74578-9523 | 2007-06-18 |
| 1578767240 | Mona Quaid | Counselor | Rr 2 Box 268, Wilburton, OK 74578-9651 | 2007-06-14 |
| Find all providers in WILBURTON | ||||
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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.