What is Mark Kelly's NPI number?

Mark Kelly's National Provider Identifier (NPI) is 1104708437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Kelly's specialty?

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

Where is Mark Kelly located?

Mark Kelly's practice location on file with NPPES is 2094 Old Taylor Rd Ste 157, Oxford, MS 38655-5019.

What is Mark Kelly's phone number?

The practice phone number listed in the NPPES registry for Mark Kelly is (601) 790-0583.

Is Mark Kelly's NPI active?

Yes — Mark Kelly's NPI (1104708437) is active in the NPPES registry as of the last update on 2025-07-25.

IndividualActive

Mark Kelly, P-LPC

NPI 1104708437 · Counselor · Oxford, MS

Mark Kelly, P-LPC is a Counselor provider in Oxford, MS (NPI 1104708437).

Provider details

NPI number: 1104708437
Entity type: Individual
Primary specialty: CounselorBehavioral Health & Social Service Providers
Credential: P-LPC
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

CounselorPrimary101Y00000X
Behavioral Health & Social Service Providers

Profile Score

Basic profile(48/100 index)

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

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% 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

2094 Old Taylor Rd Ste 157

Oxford, MS 38655-5019

Phone: (601) 790-0583

Street-level locationGet directions

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Mailing address