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
Mailing address1125 N Robison Rd, Texarkana, TX 75501-4103

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

Other providers in Texarkana