Active NPI
Kelly Marie McElvaine, LPC
- Professional Counselor
- Titusville, NJ
National Provider Identifier
1699173518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00511000
- Practice address
- 49 Nedsland Ave
Titusville, NJ 08560-1715 - Phone
- (732) 713-2672
- NPI assigned
- Dec 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00511000 | NJ | Primary |
Addresses
Primary practice location
49 Nedsland Ave
Titusville, NJ 08560-1715
Mailing address
49 Nedsland Ave
Titusville, NJ 08560-1715
Phone (732) 713-2672
Other practice location 1
20 Nassau St Ste 504
Princeton, NJ 08542-4505
Phone (732) 713-2672
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 |
|---|---|---|---|
| 37PC00511000 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1699173518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 NEDSLAND AVE",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "085601715",
"telephone_number": "732-713-2672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 NEDSLAND AVE",
"city": "TITUSVILLE",
"state": "NJ",
"postal_code": "085601715",
"telephone_number": "732-713-2672"
}
],
"practiceLocations": [
{
"address_1": "20 Nassau St Ste 504",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "NJ",
"postal_code": "085424505",
"country_code": "US",
"telephone_number": "732-713-2672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCELVAINE",
"first_name": "KELLY",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-09",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00511000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Titusville, NJ
- Stuart F Kushner, M.D.
- John Francis Kustrup Jr., MD
- Legacy Treatment Serivces, Inc.
- John J. Liccardo, M.D.
- Kimberlee McCollough
- Carla McManimon, M.S., CCC-SLP
- Marie Panchari
- Frances Anne Perrin English, PH.D., BCBA-D, LBA
- Premise Health of New Jersey Medical PC (Employee Health Center)
- Courtney Salyga, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.