Active NPI
Kelly Halladay, LPC-IT, SAC-IT
- Professional Counselor
- Delafield, WI
National Provider Identifier
1639976343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8831-226
- Practice address
- 613 Milwaukee St
Delafield, WI 53018-1517 - Phone
- (262) 290-5338
- NPI assigned
- Feb 28, 2025
- Last updated
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20787-130 | WI | |
| Professional Counselor | 101YP2500X | 8831-226 | WI | Primary |
Addresses
Primary practice location
613 Milwaukee St
Delafield, WI 53018-1517
Mailing address
2940 Clearwater LN Apt 205
Waukesha, WI 53189-6893
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20787-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 8831-226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1639976343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 CLEARWATER LN APT 205",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531896893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 MILWAUKEE ST",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530181517",
"telephone_number": "262-290-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLADAY",
"first_name": "KELLY",
"credential": "LPC-IT, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-28",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "20787-130",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8831-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.