Tamara Nicole Kelley, M.S., LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

122 Langley Rd N
Glen Burnie, MD 21060-6531

Phone

(410) 222-0100

Fax

(410) 222-0116

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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.

• Anne Arundel County

  • Methadone Clinic
  • Glen Burnie, MD
  • NPI 1851926612
  NPD (past)

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1609510346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-0100",
            "fax_number": "410-222-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LANGLEY RD N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606531",
            "telephone_number": "410-222-0100",
            "fax_number": "410-222-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TAMARA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "M.S., LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hana Kelele
• Nancy Catherine Kellenberger, LCSW-C
• Delayna Keller, RN
• Rachel E Keller, LSW
• Rebecca Jane Kelley, DNP, CRNP, A-GNP-C
• Ron Anton Kelly, PSY.D.
• Kelton Medical, LLC
• Kena Rae LLC
• Kenah One Health Care Services, LLC
• Kenah One Health Care Services, LLC

• Addiction (Substance Use Disorder) Counselor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.