Mrs Kimberly Ann Kelly, LPC in Tupelo, MS

Mrs Kimberly Ann Kelly, LPC is a Counselor - Professional based in Tupelo, Mississippi. Mrs Kimberly Ann Kelly is licensed to practice in Mississippi (license number 1923) and her current practice location is 2164 Southridge Dr, Tupelo, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 760-0115.

NPI number for Mrs Kimberly Ann Kelly is 1992944870 and her current mailing address is 238 County Road 2446, Guntown, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992944870.

Contact Information

	Mrs Kimberly Ann Kelly, LPC
	2164 Southridge Dr, Tupelo, MS 38801-6417
	(662) 760-0115
	(662) 596-0428

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Ann Kelly
Gender	Female
Speciality	Counselor - Professional
Location	2164 Southridge Dr, Tupelo, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1992944870
Provider Enumeration Date: 02/17/2009
Last Update Date: 09/09/2024

Medical Identifiers

Medical identifiers for Mrs Kimberly Ann Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992944870	NPI	-	NPPES
83-4622726	Medicaid	MS
01376867	Medicaid	MS
01437332	Medicaid	MS
83-4622726	Other	MS	COMMERCIAL
001376867	Medicaid	MS
001437332	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	1923 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Ann Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kimberly Ann Kelly, LPC 238 County Road 2446, Guntown, MS 38849-9106 Ph: (662) 760-0115	Mrs Kimberly Ann Kelly, LPC 2164 Southridge Dr, Tupelo, MS 38801-6417 Ph: (662) 760-0115

Reviews and Comments

Counselor in Tupelo, MS

Tiffany Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595 Fax: 662-680-6416
Alyssa Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Caitlyn Bouldin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Kayla Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-810-4125
Keyaira Standifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-640-4595
Mrs. Dorothy Elder Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416
Mr. Richard Eugene Dunnam, NCAC II, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Boone St, Tupelo, MS 38804 Phone: 662-844-3531 Fax: 662-844-1757

Mrs Kimberly Ann Kelly, LPC - Counselor in Tupelo, MS