Active NPIIndividual provider

Kelly M Tedesco, LPC

Counselor, Professional in Short Hills, New Jersey

NPI Number1336874163
Practice location
830 Morris Tpke Ste 405, Short Hills, NJ 07078-2620
Fax
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Last updated
March 9, 2024

Kelly M Tedesco is a Counselor, Professional based in Short Hills, NJ. Kelly M Tedesco practices in Short Hills, NJ and has the professional credentials of LPC. The NPI Number for Kelly M Tedesco is 1336874163 and holds a License No. 37PC00920600 (NJ). The current practice location address for Kelly M Tedesco is 830 Morris Tpke Ste 405, Short Hills, NJ 07078-2620 and can be reached out via phone at 862-206-6861.

Provider Profile Details

NPI Number
1336874163
Provider Name
Kelly M Tedesco
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
830 Morris Tpke Ste 405, Short Hills, NJ 07078-2620
Phone Number
862-206-6861
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2022
Last Update Date
March 9, 2024
Certification Date
March 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Morris Tpke Ste 405
Short Hills, NJ 07078-2620
Zip
07078-2620
Phone Number
862-206-6861
Short Hills, NJ 07078Get directions →

Provider Business Mailing Address Details

Address
347 Lincoln Ave E Ste 2B
Cranford, NJ 07016-6100
City
Cranford
State
NJ
Zip
07016-6100
Phone Number
862-206-6861

License Information

License Number
37PC00920600
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly M Tedesco, LPC?

The NPI number of Kelly M Tedesco, LPC is 1336874163. It was assigned on July 17, 2022 and is currently active in the NPPES registry.

What is the specialty of Kelly M Tedesco, LPC?

Kelly M Tedesco, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00920600.

Where does Kelly M Tedesco, LPC practice?

The practice location is 830 Morris Tpke Ste 405, Short Hills, NJ 07078-2620. The office can be reached at 862-206-6861 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336874163 directly on the NPPES registry website.

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