Active NPI
Emilja Kelly, LPMHC
- Mental Health Counselor
- Canandaigua, NY
National Provider Identifier
1740729342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6192-125
- Practice address
- 400 Fort Hill Ave Ste 17
Canandaigua, NY 14424-1159 - Phone
- (585) 393-7700
- NPI assigned
- Feb 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6192-125 | WI | Primary |
Addresses
Primary practice location
400 Fort Hill Ave Ste 17
Canandaigua, NY 14424-1159
Mailing address
238 Hillview Dr
Rochester, NY 14622-1716
Phone (585) 429-0699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2026 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6192-125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1740729342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 HILLVIEW DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146221716",
"telephone_number": "585-429-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FORT HILL AVE STE 17",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241159",
"telephone_number": "585-393-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "EMILJA",
"name_prefix": "Mrs.",
"credential": "LPMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "6192-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.