Mrs. Kelly Medvin, LPC, NCC
Counselor, Mental Health in Green Village, New Jersey
1598270571- Practice location
- 268 Green Village RD, Green Village, NJ 07935-3027
- Phone
- 917-922-1693
- Fax
- —
- Last updated
- December 12, 2017
Kelly Medvin is a Counselor, Mental Health based in Green Village, NJ. Kelly Medvin practices in Green Village, NJ and has the professional credentials of LPC, NCC. The NPI Number for Kelly Medvin is 1598270571 and holds a License No. 37PC00585800 (NJ). The current practice location address for Kelly Medvin is 268 Green Village RD, Green Village, NJ 07935-3027 and can be reached out via phone at 917-922-1693.
Provider Profile Details
- NPI Number
- 1598270571
- Provider Name
- Kelly Medvin
- Credential
- LPC, NCC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 268 Green Village RD, Green Village, NJ 07935-3027
- Phone Number
- 917-922-1693
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 12, 2017
- Last Update Date
- December 12, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 268 Green Village RD
Green Village, NJ 07935-3027 - City
- Green Village
- State
- New Jersey
- Zip
- 07935-3027
- Phone Number
- 917-922-1693
Provider Business Mailing Address Details
- Address
- 425 Fairmount Ave
Chatham, NJ 07928-1369 - City
- Chatham
- State
- NJ
- Zip
- 07928-1369
- Phone Number
- 973-655-0220
- Fax Number
- 973-655-0220
License Information
- License Number
- 37PC00585800
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Kelly Medvin, LPC, NCC?
The NPI number of Mrs. Kelly Medvin, LPC, NCC is 1598270571. It was assigned on December 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kelly Medvin, LPC, NCC?
Mrs. Kelly Medvin, LPC, NCC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00585800.
Where does Mrs. Kelly Medvin, LPC, NCC practice?
The practice location is 268 Green Village RD, Green Village, NJ 07935-3027. The office can be reached at 917-922-1693 (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 1598270571 directly on the NPPES registry website.