MEDICARE: KB COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1609727379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KB COUNSELING

Provider Business Mailing Address
First Line	:	1205 NW 8TH ST
Second Line	:
City	:	GRIMES
State	:	IA
Zip	:	50111-5173
Country	:	US
Telephone Number	:	515-599-0246
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 NE STATION XING
Second Line	:
City	:	GRIMES
State	:	IA
Zip	:	50111-8013
Country	:	US
Telephone Number	:	515-599-0246
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MENTAL HEALTH COUNSELOR
Name	:	KELLY KATHLEEN BELLIS
Credential	:	LMHC, LPC
Telephone Number	:	515-599-0246

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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