Kerri Scully LPC LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KERRI SCULLY LPC LLC

Practice address

526 Newark Pompton Tpke
Wayne, NJ 07470-6643

Phone

(201) 650-3888

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Kerri Scully, LPC, LMHC

Title

Owner

Phone

(973) 963-4156

Specialties & licenses 1

Addresses

Practitioners 1

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

• Krystal Aguayo Cartagena, LCSW

  • Clinical Social Worker
  • Trenton, NJ
  • NPI 1255100749
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1104560283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NEWARK POMPTON TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706643",
            "telephone_number": "201-650-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NEWARK POMPTON TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706643",
            "telephone_number": "201-650-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRI SCULLY LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-963-4156",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen E Kelly
• Michael Edward Kelly, D.C.
• Quinn Elizabeth Kelly
• Jessica L Kelmartin, APN
• Kimberly Ann Kempey, LPC
• Yvonne E Kersulec-Morillo, O.D.
• Kesler Podiatry P C
• Michael Kesler, D.P.M.
• Kiandokht Keyhanian, M.D.
• Aziz-Ur-Rahman Khalid

• Mental Health Counselor in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.