Shirley Kelley
NPI 1104138015ActiveIndividual· Counselor· Texarkana, TX
Counselor in Texarkana, Texas, trained at Texas A & M University System, Hsc, College of Medicine (class of 2005). Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1104138015 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 8, 2010 |
| Last updated in NPPES | Jun 11, 2024 |
| Certified by provider | Jun 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 64202 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (TX) |
|---|
Education and affiliations
| Medical school | Texas A & M University System, Hsc, College of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Mental Health Counselor |
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