Tresa Kelley, MHC MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002809 Issued in NY

Practice address

100 Washington St
Elmira, NY 14901-2849

Phone

(607) 735-3564

Fax

(607) 735-3569

NPI assigned

Mar 29, 2010

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

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1629393129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SPRINGBROOK LN",
            "city": "CANTON",
            "state": "PA",
            "postal_code": "177247858",
            "telephone_number": "607-735-3564",
            "fax_number": "607-735-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012849",
            "telephone_number": "607-735-3564",
            "fax_number": "607-735-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TRESA",
        "credential": "MHC   MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Karen Keels, RN
• Peter J. Keenan
• John Michael Keller, MD
• Dean Kellerhouse, LCAC
• Melissa Kelley, LMT
• Daniel Benjamin Kellner, MD
• Dylan Sean Kellogg, MD
• April A Kelly
• Donald Kelly, RPH
• Valerie J Kelly

• Mental Health Counselor in Elmira, NY
• Providers in Elmira, 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 Mar 29, 2010; 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.