NPIMap

Organization Active NPI

Kerri Scully LPC LLC

  • Mental Health Counselor
  • Wayne, NJ
National Provider Identifier
1104560283
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Kerri Scully, LPC, LMHCNPI 1831322759
Title
Owner
Phone
(973) 963-4156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

526 Newark Pompton Tpke
Wayne, NJ 07470-6643

Mailing address

526 Newark Pompton Tpke
Wayne, NJ 07470-6643
Phone (201) 650-3888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Wayne, NJ

Sources for this page

  • 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.