Active NPI
Kelly Baptiste
- Mental Health Counselor
- Mount Holly, NJ
National Provider Identifier
1760213011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00771300
- Practice address
- 605 High St
Mount Holly, NJ 08060-1022 - Phone
- (609) 267-3610
- NPI assigned
- Aug 9, 2024
- 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 | 37AC00771300 | NJ | Primary |
Addresses
Primary practice location
605 High St
Mount Holly, NJ 08060-1022
Mailing address
2 Kilgour CT
Marlton, NJ 08053-1861
Phone (856) 630-6275
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 |
|---|---|---|---|
| 37AC00771300 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daisy's Place a Shelter for Women and Children | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Daisys Place
- Community/Behavioral Health Agency
- Voorhees, NJ
- NPI 1427549302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1760213011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 KILGOUR CT",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531861",
"telephone_number": "856-630-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 HIGH ST",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601022",
"telephone_number": "609-267-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAPTISTE",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00771300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.