Kelsey Siegel, LMHC; LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00609100 Issued in NJ

Practice address

4 Walnut Hollow LN
Holmdel, NJ 07733-1352

Phone

(914) 316-5424

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lumos Counseling PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holmdel, NJ
  • NPI 1366918666
  NPD Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1669829388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALNUT HOLLOW LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331352",
            "telephone_number": "914-316-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALNUT HOLLOW LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331352",
            "telephone_number": "914-316-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "KELSEY",
        "credential": "LMHC; LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007196",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00609100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaw Chiropractic, LLC
• Melissa Sue Shaw, D.C.
• Jackline Zaky Shawki, O.D.
• Ramsha Sheikh, PA-C
• Sheryl a Roach, PHD, LPC PC
• Michael Silverberg, MD
• Egbert Simon, MD
• Karandeep Singh, DO
• Timolyne Adair Skinner, APRN,BC
• Leah Dawn Skjoldal, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.