Kelly Rose O'Connor-Kalil, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2217 State Route 86
Saranac Lake, NY 12983-5644

Phone

(518) 891-5535

Fax

(518) 891-5851

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Rose O'Connor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174687644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 KIWASSA RD",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832350",
            "telephone_number": "518-891-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 STATE ROUTE 86",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-891-5535",
            "fax_number": "518-891-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR-KALIL",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "O'CONNOR",
            "middle_name": "ROSE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• North Country Home Services, Inc.
• Jessica Lynn Novak, CRNA
• Howard Issac Novick, MD
• Gary A Nye, RPA-C
• Kathleen Jo O'Connell, D.P.M.
• Donnon J O'Neill, D.D.S.
• Rebecca D O'Neill, C.A.S.A.C., M.S.
• Brittany Tyler Olbert, PHARMD
• Brendon Olsen
• Marijke B Ormel, ANP

• Mental Health Counselor in Saranac Lake, NY
• Providers in Saranac Lake, 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 Jul 8, 2007; 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.