Kelly Elizabeth Schuller, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00642200 Issued in NJ

Practice address

8348 Nandina Dr
Sarasota, FL 34240-9523

Phone

(201) 321-2038

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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.

• Kes Therapy LLC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1841916061
  NPD Authorized official

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1366927477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LINCOLN AVE",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8348 NANDINA DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409523",
            "telephone_number": "201-321-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Totowa",
            "state": "NJ",
            "postal_code": "075122123",
            "country_code": "US",
            "telephone_number": "201-321-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULLER",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00305200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00642200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Telehealth: Theranest HIPPA compliant software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8348 Nandina Dr",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342409523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jane Schroeder, PHYSICAL THERAPIST
• Jeffrey Thomas Schroedter
• David Andrew Schroeter, DMD
• Steven Anton Schroeter, D.M.D.
• Robert Schuh, D.C.
• Leslie Schulman, AUD
• Robert S. Schulman, M.D.
• Brian J. Schultz X, D.O
• Cristina Ingratta Schultz, COTA
• Jerette Schultz, M.D.

• Professional Counselor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.