Beth Marie Kelley, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R058154 Issued in NY

Practice address

200 W 81St St
#56
New York, NY 10024-5833

Phone

(917) 797-2886

Fax

(212) 604-3259

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215058706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 81ST ST",
            "address_2": "#56",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245833",
            "telephone_number": "917-797-2886",
            "fax_number": "212-604-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 81ST ST",
            "address_2": "#56",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245833",
            "telephone_number": "917-797-2886",
            "fax_number": "212-604-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R058154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kellerman
• Mitchell Kellert, D.D.S
• Rohma Kellert, LMT
• Kelley Hershman Licensed Mental Health Counselor PLLC
• Amy Steves Kelley, M.D.
• Brien Sharp Kelley, PH.D.
• Charles Byron Kelley, COUNSELOR
• David Melvin Kelley, PH.D.
• Elissa Therese Kelley, MS CCC-SLP
• Erin Kathleen Kelley, LMSW

• 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 Jul 8, 2007; 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.