MRS. KELLY RANAE MOUNCE MS LPC NPI 1275647349

NPI Information

NPI: 1275647349
Provider Name: MRS. KELLY RANAE MOUNCE, MS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
550 S PEORIA AVE
TULSA, OK
ZIP 74120
Phone: (918) 382-2205
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MRS. Kelly Ranae Mounce, MS, LPC is a mental health counselor in Tulsa, OK. MRS. Kelly Ranae Mounce, MS, LPC NPI is 1275647349. 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:

550 S PEORIA AVE
TULSA, OK
ZIP 74120-820
Phone: (918) 382-2205

The enumeration date for this NPI number is 8/18/2006 and was last updated on 9/7/2021.

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	101YP2500X	Counselor	Professional	4137	OKLAHOMA	No
2	101YP2500X	Counselor	Professional	178.009763	ILLINOIS	No
3	101YM0800X	Counselor	Mental Health	4137	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	731042545001	OTHER	OKLAHOMA	TRICARE GROUP
2	73-1042545	OTHER	OKLAHOMA	GROUP MEDICARE
3	100732910-A	OTHER	OKLAHOMA	MEDICAID/SOONERCARE GROUP
4	73-1042545	OTHER	OKLAHOMA	COMMUNITY CARE OF OKLAHOMA GROUP
5	73-1042545	OTHER	OKLAHOMA	BLUE CROSS BLUE SHIELD GROUP

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

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