MK Counseling and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MK COUNSELING AND WELLNESS LLC

Doing business as

MK Counseling and Wellness LLC
MK Counselling and Wellness

Practice address

53 High St # A26
Westerly, RI 02891-6027

Phone

(860) 294-9777

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Michele KellyNPI 1326573312

Title

Owner Therapist

Phone

(860) 294-9777

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• MK Counseling and Wellness LLC Doing business as
• MK Counselling and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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

• Michele Kelly, LCSW/ LICSW

  • Clinical Social Worker
  • Norwich, CT
  • NPI 1326573312

  RI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1760227334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BITGOOD RD",
            "city": "GRISWOLD",
            "state": "CT",
            "postal_code": "063511503",
            "telephone_number": "860-576-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HIGH ST # A26",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028916027",
            "telephone_number": "860-294-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Case St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602222",
            "country_code": "US",
            "telephone_number": "860-294-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MK COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "860-294-9777"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326573312",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MK Counseling and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MK Counseling and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MK Counselling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Mikkelsen, DPT
• William Joseph Millette III, PHARMD
• Justin Mink, L.P.C.
• Mary Minn, MD
• Holly M Misto, OD
• Vincent A Montemarano, MD
• Betsy L Moody, M.D.
• Elizabeth Morin, MS, CCC-SLP
• Antonietta A. Morrone
• Destiny Cheyenne Moser

• Clinical Social Worker in Westerly, RI
• Providers in Westerly, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.