Richard Kellman, MA, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

001319 Issued in NY

Practice address

156 Corliss Ave
Eckelberger Tower Suite 108
Johnson City, NY 13790-2060

Phone

(607) 763-6475

Fax

(607) 763-6471

NPI assigned

Oct 14, 2009

Sex

Male

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 Arts

State licenses

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1649505397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 CORLISS AVE",
            "address_2": "ECKELBERGER TOWER SUITE 108",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902060",
            "telephone_number": "607-763-6475",
            "fax_number": "607-763-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 CORLISS AVE",
            "address_2": "ECKELBERGER TOWER SUITE 108",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902060",
            "telephone_number": "607-763-6475",
            "fax_number": "607-763-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLMAN",
        "first_name": "RICHARD",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "001319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasrina Kaushal, MD
• Melody Ann Keegan, MS CCC/SLP
• Nicole Rene Keibel, OTR/L, LMT, CLT
• Darlene S Keller, RD
• Julianne M. Keller, OTR
• John Joseph Kelly III, M.D.
• Taylor Kelsey, PHARMD.
• Melissa M Kemmerer, PT
• Amy Kennicutt
• Joseph Frederick Kenny Sr., PT,DPT

• Counselor in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.