Agnes Kelley, LPC, LCDC
Counselor, Professional in Houston, TX. Individual provider (NPI-1).
NPI number1083147243
StatusActive
Last updated in NPPESApr 5, 2017
Details
- NPI
- 1083147243
- Entity type
- Individual (NPI-1)
- Name
- Agnes Kelley
- Credential
- LPC, LCDC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2017
- Last updated
- Apr 5, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 13001 | TX | Yes |
Other names
- Agnes Van Brunt (Former Name)
Practice location
3003 S Loop W Ste 320Houston, TX 77054-1373
Phone 713-910-0296
Mailing address
3003 S Loop W Ste 320Houston, TX 77054-1373
Phone 713-910-0296
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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