Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shirley Kelley

Individual provider Counselor · NPI 1104138015

Shirley Kelley is a Mental Health Counselor in Texarkana, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2010
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Practice location Address checks out

1125 N Robison Rd
Texarkana, TX 75501-4103
Phone: (903) 832-2860
Fax: (903) 832-2870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 64202 (TX)

Record details

NPI number1104138015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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