Kelly M Gentry, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00681100 Issued in NJ

Practice address

114 Coeyman Ave
Nutley, NJ 07110-1502

Phone

(631) 617-1487

NPI assigned

May 11, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Empowered Voices LLC

  • Mental Health Counselor
  • Montclair, NJ
  • NPI 1366019275
  NPD Authorized official
• Charlandra Consulting and Counseling

  • Mental Health Counselor
  • Woodcliff Lake, NJ
  • NPI 1871977306
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1306372370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 COEYMAN AVE STE 206",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101502",
            "telephone_number": "631-617-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 COEYMAN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101502",
            "telephone_number": "631-617-1487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Broadway",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Woodcliff Lake",
            "state": "NJ",
            "postal_code": "076778077",
            "country_code": "US",
            "telephone_number": "201-746-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00681100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Gejerman, LAMFT
• Gabriella Altagracia Genao
• Genis Physical Therapy and Rehabilitation
• Alan M Genitempo, L.AC.
• Michael Raymond Gentile, MD
• Tiffany Geoffroy, RDN
• George Z. Farion M.D.P.a.
• Hisham A Gharib
• Jennifer Giacobbe
• Jaclyn Danielle Giangrande, PT, DPT

• Professional Counselor in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.