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

Tyrone L Kellewood, MHC

Individual provider Mental Health Counselor · NPI 1811123136

Tyrone L Kellewood, MHC is a Mental Health Counselor in Shiprock, New Mexico. Qualified in 2005, 21 years ago. Practices with Puyallup Tribal Health Authority, a 35-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
21
Licensed in
WA
In the registry since
2009

Practice location Address checks out

US Hwy 491 N
Shiprock, NM 87420
Phone: (505) 368-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH 60084686 (WA)

Record details

NPI number1811123136
Entity typeIndividual (Type 1)
GenderMale
Credentials MHC
Sole proprietorYes
NPI enumeratedJune 1, 2009
Last updated in NPPESMay 19, 2021
Certification dateApril 29, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Puyallup Tribal Health Authority — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shiprock