KEELY KELLEY (MS, NCC) – Mental Health Counselor, NPI 1538740451

KEELY KELLEY (MS, NCC) is a healthcare provider. based in Kiowa, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, NCC. The NPI Number for KEELY KELLEY (MS, NCC) is 1538740451

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KEELY KELLEY (MS, NCC)
NPI
1538740451
Phone
(918) 916-2411
Address
506 BATTLES RD
Enumeration Date
21 April 2021
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803268605
Graduation Year
2020 (6 years ago)
PAC ID
9537512702
Group Practice PAC ID
4688943657
Professional Enrollment ID
I20240124003600
Address ID
OK745233824AN307XXSTXX400

Contacts

Main Contact
Oklahomacc.con
Other Endpoint
Oklahomacc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Other namesUpdated within 12 months

1,199 MENTAL HEALTH COUNSELOR in OK

Provider Addresses for KEELY KELLEY (MS, NCC)

  • 506 BATTLES RD

    KIOWA, OK 745535096

    Phone: (918) 916-2411

    Type: Mailing

  • 104 E CARL ALBERT PKWY

    MCALESTER, OK 745015092

    Phone: (918) 423-0220

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240124003600IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74553)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688943657View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
-OK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Is there an official ID for KEELY KELLEY (MS, NCC) in U.S. healthcare records?
The official identifier for KEELY KELLEY (MS, NCC) is NPI 1538740451.
Is KEELY KELLEY (MS, NCC) still an active registrant?
KEELY KELLEY (MS, NCC) carries an active NPI according to the public dataset.
What clinical focus is listed for KEELY KELLEY (MS, NCC)?
At a glance, KEELY KELLEY (MS, NCC) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is KEELY KELLEY (MS, NCC) registered?
Use Kiowa, Oklahoma as the headline location for KEELY KELLEY (MS, NCC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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