Kelly Anne Shanley, LMHC, CASAC, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004658 Issued in NY

Practice address

311 W 35TH St
New York, NY 10001-1701

Phone

(212) 736-5900

Fax

(212) 643-1441

NPI assigned

Feb 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1073845210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST PH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "917-515-0200",
            "fax_number": "212-643-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 35TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011701",
            "telephone_number": "212-736-5900",
            "fax_number": "212-643-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC, CASAC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "22182",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Shankman
• Steven Shankman, MD
• Rebecca Shanks, MPH, CPH, PA-C
• Lisa Shankweiler
• Stuart Daniel Shanler, MD
• Margaret Shanley, LMSW
• Hariharan Tamil Shanmugam, MD
• Shannamd
• Shannan Carter Nutrition, LLC
• Shannon Carroll NP PLLC

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.