Kelly Peters Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008088 Issued in PA

Legal business name

KELLY PETERS COUNSELING

Practice address

6060 Ridge Ave
Suite 210
Philadelphia, PA 19128-1657

Phone

(267) 536-9384

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kelly Peters, LPCNPI 1407236581

Title

Owner/Therapist

Phone

(267) 536-9384

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Peters, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1407236581

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1750758181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 RIDGE AVE",
            "address_2": "SUITE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 RIDGE AVE",
            "address_2": "SUITE 210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281657",
            "telephone_number": "267-536-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY PETERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "267-536-9384",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "008088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec S Kellish
• Erika Anaya Kellogg, LCSW
• Khadejah Kellogg
• Molly Kellogg, RD, LCSW
• Valerie L Kellom, M.S.S.
• Regina Kelly-Hartshorne, NP
• Amanda Grace Kelly, M.D.
• Andrea Kelly, M.D.
• Andrew James Kelly, DO
• Anne Kelly, LSW, M.ED

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.