Active NPIOrganization

Kelly Connell Counseling LLC

Counselor, Professional in Livingston, New Jersey

NPI Number1710417340
Practice location
15 Kathay Dr, Livingston, NJ 07039-4711
Fax
—
Last updated
April 21, 2022

Kelly Connell Counseling LLC is a healthcare organization based in Livingston, NJ. Kelly Connell Counseling LLC practices in Livingston, NJ. The NPI Number for Kelly Connell Counseling LLC is 1710417340 and holds a License No. 37pc00589400 (NJ). The current practice location address for Kelly Connell Counseling LLC is 15 Kathay Dr, Livingston, NJ 07039-4711 and can be reached out via phone at 201-543-7651.

Provider Profile Details

NPI Number
1710417340
Provider Name
Kelly Connell Counseling LLC
Provider Entity Type
Organization
Address
15 Kathay Dr, Livingston, NJ 07039-4711
Phone Number
201-543-7651
Primary Taxonomy
Counselor, Professional · 101YP2500X
Organization Subpart
No
Authorized Official
Kelly Connell, MA/EDS, LPC · Incorporator · 973-567-6886
Provider Enumeration Date
June 15, 2017
Last Update Date
April 21, 2022
Certification Date
April 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Kathay Dr
Livingston, NJ 07039-4711
Zip
07039-4711
Phone Number
201-543-7651
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
Po Box 652
Livingston, NJ 07039-0652
City
Livingston
State
NJ
Zip
07039-0652
Phone Number
973-567-6886

License Information

License Number (1)
37pc00589400
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
Taxonomy (2)
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 Connell Counseling LLC?

The NPI number of Kelly Connell Counseling LLC is 1710417340. It was assigned on June 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelly Connell Counseling LLC?

Kelly Connell Counseling LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37pc00589400.

Where does Kelly Connell Counseling LLC practice?

The practice location is 15 Kathay Dr, Livingston, NJ 07039-4711. The office can be reached at 201-543-7651 (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 1710417340 directly on the NPPES registry website.

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