STACEY KELIHER PMHNP-BC NPI 1669158754

NPI Information

  • NPI: 1669158754
  • Provider Name: STACEY KELIHER, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 120 PROSPEROUS PL STE 201
    LEXINGTON, KY
    ZIP 40509
  • Phone: (859) 368-0609

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NPI Details

Stacey Keliher, PMHNP-BC is a psychiatric/mental health nurse practitioner in Lexington, KY with 3 years of experience. Stacey Keliher, PMHNP-BC NPI is 1669158754. 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:

120 PROSPEROUS PL STE 201
LEXINGTON, KY
ZIP 40509-866
Phone: (859) 368-0609
Fax: (859) 368-9767

The NPI 1669158754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2023 and was last updated on 12/3/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health4006284KENTUCKYYes

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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