Kelly Connell Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KELLY CONNELL COUNSELING LLC

Practice address

15 Kathay Dr
Livingston, NJ 07039-4711

Phone

(201) 543-7651

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Kelly Connell, MA/ED.S, LPCNPI 1164952123

Title

Incorporator

Phone

(973) 567-6886

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Appel Connell, MA/ED.S, LPC

  • Professional Counselor
  • Livingston, NJ
  • NPI 1164952123
  NPD Authorized official

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1710417340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070390652",
            "telephone_number": "973-567-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 KATHAY DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394711",
            "telephone_number": "201-543-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY CONNELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "973-567-6886",
        "authorized_official_credential": "MA/ED.S, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00589400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yifat Kedar, OTR/L
• Oren Solomon Keiser, MD
• Keith Golin PHD LLC
• Jonathan D Keith, MD
• Kiera Keller, PA-C
• Kristine Noel Kelly, RN, ANP-BC
• Patricia Kelly
• Romona Kennedy, D.M.D.
• Kenneth T. Defusco M.D. PA
• Elliot S Kerven, MD

• Professional Counselor in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.