What is Kelly Buckholdt's NPI number?

Kelly Buckholdt's National Provider Identifier (NPI) is 1083024079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kelly Buckholdt's specialty?

Kelly Buckholdt is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).

Where is Kelly Buckholdt located?

Kelly Buckholdt's practice location on file with NPPES is 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116.

What is Kelly Buckholdt's phone number?

The practice phone number listed in the NPPES registry for Kelly Buckholdt is (601) 364-7903.

Is Kelly Buckholdt's NPI active?

Yes — Kelly Buckholdt's NPI (1083024079) is active in the NPPES registry as of the last update on 2016-04-26.

IndividualActive

Kelly Buckholdt, PH.D.

NPI 1083024079 · Counselor · Jackson, MS

Kelly Buckholdt, PH.D. is a Counselor provider in Jackson, MS (NPI 1083024079).

Provider details

NPI number: 1083024079
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Female
Sole proprietor: Yes
License: 54955 (MS)

Specialties & taxonomies

CounselorPrimary101Y00000XLicense 54955 (MS)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1500 E Woodrow Wilson Ave

Jackson, MS 39216-5116

Phone: (601) 364-7903

Approximate (ZIP-level) locationGet directions

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Mailing address