Cynthia Carr Kelly, M.A., L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00080100 Issued in NJ

Practice address

12000 Lincoln Dr W
BLDG. 4, Suite 407
Marlton, NJ 08053-3402

Phone

(856) 810-0264

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609895457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PEACH RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080537028",
            "telephone_number": "856-768-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 LINCOLN DR W",
            "address_2": "BLDG. 4, SUITE 407",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533402",
            "telephone_number": "856-810-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CYNTHIA",
        "middle_name": "CARR",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00080100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin R Kazmierski-Furno, D.M.D.
• Mark R Kazmierski, D.M.D.
• Katherine Kehoe, LCSW
• Robert Keller
• Elizabeth Kelley, LCSW
• Isabel Maria Kelly
• Rebecca L Kelly, APN
• Tina Kelly, MS, OTR/L
• William James Kelly, FNP-C
• Kennedy Medical Group (Kennedy Health Alliance)

• Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.