Individual provider Active NPI

Andrea June Kelly, LMHC

  • Mental Health Counselor
  • West Hurley, NY
National Provider Identifier
1437756897
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011280 Issued in NY
Practice address
43 Brittany Dr
West Hurley, NY 12491-5603
Phone
(845) 201-9664
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 103028-01 NY
Mental Health Counselor 101YM0800X 011280 NY Primary

Addresses

Primary practice location

43 Brittany Dr
West Hurley, NY 12491-5603

Mailing address

77 Gage St
Kingston, NY 12401-3019
Phone (845) 201-9664

Other practice location 1

3642 Main St
Stone Ridge, NY 12484-5636
Phone (845) 201-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103028-01NYMDMental Health Counselor
011280NYMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1437756897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GAGE ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013019",
            "telephone_number": "845-201-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 BRITTANY DR",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124915603",
            "telephone_number": "845-201-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3642 Main St",
            "address_purpose": "LOCATION",
            "city": "Stone Ridge",
            "state": "NY",
            "postal_code": "124845636",
            "country_code": "US",
            "telephone_number": "845-201-9664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANDREA",
        "middle_name": "JUNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "103028-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hurley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.