Jeanine Kelo, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003256 Issued in CT

Legal business name

JEANINE KELO, LPC, LLC

Practice address

225 Providence Pike
Putnam, CT 06260-2526

Phone

(860) 949-5455

NPI assigned

Nov 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jeanine Kelo, LPCNPI 1720506462

Title

Owner

Phone

(860) 949-5455

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanine Kelo, LPC

  • Professional Counselor
  • Danielson, CT
  • NPI 1720506462
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1013420025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PROVIDENCE PIKE",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PROVIDENCE PIKE",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602526",
            "telephone_number": "860-949-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE KELO, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "KELO",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-949-5455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Hyde, APRN
• Richard L Irwin, M.D.
• Devon Jacobson, M.D.
• Annette Jakubisin-Konicki, N.P.
• Michael Janket, DMD
• Leilanie Jimenez
• Mary-Ann Jodaitis
• Wendy Johnson
• Tanvi Kapadia, D.D.S.
• Shilpa Kapoor, DDS

• Professional Counselor in Putnam, CT
• Providers in Putnam, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.