Kelly Counseling & Consulting, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005647L Issued in PA

Legal business name

KELLY COUNSELING & CONSULTING, LLC

Practice address

305 Valleybrook Rd
Chester Heights, PA 19017-0534

Phone

(610) 358-2250

Fax

(610) 358-2251

NPI assigned

Apr 7, 2006

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia M Kelly, PH. D.NPI 1417170028

Title

President

Phone

(610) 358-2250

Specialties & licenses 9

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

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.

• Patricia M Kelly, PH.D

  • Clinical Psychologist
  • Chester Heights, PA
  • NPI 1417170028
  Medicare reassignment NPD Authorized official
• Veronica Childs

  • Professional Counselor
  • Chester Heights, PA
  • NPI 1649587015
  NPD (past)
• Renee Eells, LCSW

  • Clinical Social Worker
  • Glen Mills, PA
  • NPI 1578621751
  NPD (past)
• Ronald J Karney, PH.D.

  • Psychologist
  • Glen Mills, PA
  • NPI 1184722233
  NPD (past)
• Bethany M Lukban, LMFT

  • Marriage & Family Therapist
  • Media, PA
  • NPI 1265743454
  NPD (past)
• Thomas J Tyrrell, PH.D.

  • Psychologist
  • Santa Fe, NM
  • NPI 1396856753
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1730142159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 VALLEYBROOK RD",
            "city": "CHESTER HEIGHTS",
            "state": "PA",
            "postal_code": "190170534",
            "telephone_number": "610-358-2250",
            "fax_number": "610-358-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 VALLEYBROOK RD",
            "city": "CHESTER HEIGHTS",
            "state": "PA",
            "postal_code": "190170534",
            "telephone_number": "610-358-2250",
            "fax_number": "610-358-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-358-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003436",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005647L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS002719L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016117",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016001",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014825",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000573",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000518",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD065625L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "KE1696759",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chester Heights Hearing Aid Center, LLC
• Veronica Childs
• Richard P. Claffey, HEARING AID FITTER
• Kelly L Garrahan
• Patricia M Kelly, PH.D

• Clinical Psychologist in Chester Heights, PA
• Providers in Chester Heights, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.