Kelsey A. Skerpan, MA, LMHC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010120 Issued in NY

Practice address

47 South St
Trumansburg, NY 14886-9530

Phone

(607) 269-7579

NPI assigned

Aug 15, 2016

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

Other names 1

• Kelsey A. Reed Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Toward Independent Living & Learning, Inc.

  dba TILL, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dedham, MA
  • NPI 1992898035
  NPD (past)
• Toward Independent Living and Learning

  dba TILL Medical Group

  • Neurology Physician
  • Dedham, MA
  • NPI 1528294832
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1518411941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SOUTH ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869530",
            "telephone_number": "607-269-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 SOUTH ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869530",
            "telephone_number": "607-269-7579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Princeton Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "NY",
            "postal_code": "148301524",
            "country_code": "US",
            "telephone_number": "607-738-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Eastbrook Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020262075",
            "country_code": "US",
            "telephone_number": "781-329-9365",
            "fax_number": "781-302-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Harbor St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233390",
            "country_code": "US",
            "telephone_number": "978-619-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKERPAN",
        "first_name": "KELSEY",
        "middle_name": "A.",
        "credential": "MA, LMHC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10777",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "skerpank@familyservicesociety.org",
            "affiliation": "N",
            "endpointDescription": "skerpank@familyservicesociety.org",
            "address_1": "280 Princeton Avenue Ext",
            "city": "Corning",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148301524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "REED",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda L Schutt, LM CM CPM
• Sara Seifert, RN
• Johannah Shortle
• Matthew Phillip Simone, FNP
• Whitney Simone, MD
• Sophany Soeung
• Kerri Stopinski, PT
• Shawnti Storm, NP
• Bridget Meghan Strosnider, R.PH.
• Aida Sundarsingh

• Mental Health Counselor in Trumansburg, NY
• Providers in Trumansburg, 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 Dec 26, 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.