MEDICARE: MRS. KELLY KATHLEEN BELLIS LPC-MHSP

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770625709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLY KATHLEEN BELLIS LPC-MHSP

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	02/17/2026

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Directions to “ MRS. KELLY KATHLEEN BELLIS LPC-MHSP” Practice Location

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