MARK RYAN KELLY LPC LCDC NPI 1366804742

NPI Information

  • NPI: 1366804742
  • Provider Name: MARK RYAN KELLY, LPC, LCDC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 403 E HILLJE ST
    EL CAMPO, TX
    ZIP 77437
  • Phone: (361) 571-3995

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NPI Details

Mark Ryan Kelly, LPC, LCDC is a professional counselor in El Campo, TX. Mark Ryan Kelly, LPC, LCDC NPI is 1366804742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

403 E HILLJE ST
EL CAMPO, TX
ZIP 77437-503
Phone: (361) 571-3995

The enumeration date for this NPI number is 3/24/2016 and was last updated on 7/26/2024.

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
1101YP2500XCounselorProfessional82018TEXASYes

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: 11/21/2025

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