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SUSAN E KELLY PHD LMHC NPI 1003877895


NPI Information

NPI: 1003877895
Provider Name: SUSAN E KELLY, PHD, LMHC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
5264 COUNCIL ST NE
STE 400
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 398-6694
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Susan E Kelly, PHD, LMHC is a counselor in Cedar Rapids, IA. 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. Susan E Kelly, PHD, LMHC NPI is 1003877895. 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:

5264 COUNCIL ST NE
STE 400
CEDAR RAPIDS, IA
ZIP 52402-471
Phone: (319) 398-6694
Fax: (319) 369-4673

The enumeration date for this NPI number is 3/31/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor00408IOWAYes

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

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.