Active NPIIndividual providerSole proprietor

Kelly Poole, LMHC

Marriage & Family Therapist in Midland Park, New Jersey

NPI Number1427655117
Practice location
11 Paterson Ave, Midland Park, NJ 07432-1829
Fax
—
Last updated
October 27, 2024

Kelly Poole is a Marriage & Family Therapist based in Midland Park, NJ. Kelly Poole practices in Midland Park, NJ and has the professional credentials of LMHC. The NPI Number for Kelly Poole is 1427655117 and holds a License No. 010737 (NY). The current practice location address for Kelly Poole is 11 Paterson Ave, Midland Park, NJ 07432-1829 and can be reached out via phone at 201-213-8212.

Provider Profile Details

NPI Number
1427655117
Provider Name
Kelly Poole
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
11 Paterson Ave, Midland Park, NJ 07432-1829
Phone Number
201-213-8212
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2020
Last Update Date
October 27, 2024
Certification Date
October 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Paterson Ave
Midland Park, NJ 07432-1829
Zip
07432-1829
Phone Number
201-213-8212
Midland Park, NJ 07432Get directions →

Provider Business Mailing Address Details

Address
11 Paterson Ave
Midland Park, NJ 07432-1829
City
Midland Park
State
NJ
Zip
07432-1829
Phone Number
201-213-8212

License Information

License Number (1)
010737
License State (1)
NY
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
37PC00890200
License State (2)
NJ
Taxonomy (2)
Marriage & Family Therapist · 106H00000X · 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 Poole, LMHC?

The NPI number of Kelly Poole, LMHC is 1427655117. It was assigned on October 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Kelly Poole, LMHC?

Kelly Poole, LMHC is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in NY under license number 010737.

Where does Kelly Poole, LMHC practice?

The practice location is 11 Paterson Ave, Midland Park, NJ 07432-1829. The office can be reached at 201-213-8212 (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 1427655117 directly on the NPPES registry website.

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