Kellyanne Richmond, MA, LPC, LCADC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00743100 Issued in NJ

Practice address

9 Cedar LN
Sussex, NJ 07461-4359

Phone

(813) 421-1312

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, CO, VT3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valera Medical PAGroup PAC ID 6406238310, 8 clinicians

Valera Medical, P.a.Group PAC ID 6709272008, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDEECD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1306435060

  Mental Health, NJ

  Medicare reassignment Care Compare group NPD
• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1871248757

  CO, Mental Health, VT

  Medicare reassignment Care Compare group NPD
• Cove Services NJ, LLC

  • Case Manager/Care Coordinator
  • Sussex, NJ
  • NPI 1033054721
  NPD Authorized official
• Healthcareserv

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iselin, NJ
  • NPI 1619589017
  NPD
• The Howard Center for Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iselin, NJ
  • NPI 1710460381
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1164952867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CEDAR LN",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074614359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CEDAR LN",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074614359",
            "telephone_number": "813-421-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "KELLYANNE",
        "credential": "MA, LPC, LCADC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0021628",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC5265",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136330",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00743100",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC0224600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Perrotta, MS, RDN, LDN
• Kathryn Pietrowski, BCBA
• Laura S Pinter, LCSW
• Marian Deborah Press, R.PH.
• William Preston, D.C.
• Rite Aid of New Jersey Inc
• Ronetco Supermarkets, Inc
• Allyson Rose
• Myra Jean Rowland, MA LPC
• Saint Clares Hospital Inc

• Mental Health Counselor in Sussex, NJ
• Providers in Sussex, 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 Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.