ROBERTA KELLEY NPI 1538831987

NPI Information

NPI: 1538831987
Provider Name: ROBERTA KELLEY
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1139 BURNQUIST ST
SAINT PAUL, MN
ZIP 55106
Phone: (612) 296-3456
Get Directions

Roberta Kelley is a counselor in Saint Paul, MN. The provider is 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. Roberta Kelley NPI is 1538831987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1139 BURNQUIST ST
SAINT PAUL, MN
ZIP 55106-804
Phone: (612) 296-3456

The enumeration date for this NPI number is 10/4/2021 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	305002	MINNESOTA	No
2	101Y00000X	Counselor		4461	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »