Melissa Kaye Kelly, LAC
Counselor, Addiction (Substance Use Disorder) in Bozeman, MT. Individual provider (NPI-1).
NPI number1609210442
StatusActive
Last updated in NPPESApr 23, 2013
Details
- NPI
- 1609210442
- Entity type
- Individual (NPI-1)
- Name
- Ms. Melissa Kaye Kelly
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2013
- Last updated
- Apr 23, 2013
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 |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1005 | MT | Yes |
Practice location
2020 Charlotte St Ste 4Bozeman, MT 59718-2774
Phone 406-209-8397
Mailing address
2020 Charlotte St Ste 4Bozeman, MT 59718-2774
Phone 406-209-8397
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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