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

Kelly Marie Buckley, LPC

Individual provider Mental Health Counselor · NPI 1720603830

Kelly Marie Buckley, LPC is a Mental Health Counselor in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5106 Hampton Ave Ste 204
Saint Louis, MO 63109-3115
Phone: (636) 208-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2017034803 (MO)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2017034803 (MO)

Record details

NPI number1720603830
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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