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

Kelli Ballard

Individual provider Mental Health Counselor · NPI 1508167578

Kelli Ballard is a Mental Health Counselor in Tahlequah, Oklahoma. Qualified in 2011, 15 years ago. Practices as a sole proprietor.

Years since qualifying
15
In the registry since
2010
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Practice location Address checks out

19600 E Ross St
Tahlequah, OK 74464-0545
Phone: (539) 234-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1508167578
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2010
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021
Mailing address619 N Main St, Muskogee, OK 74401-4431

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Tahlequah