Katherine Alma Kelley, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000501 Issued in VT

Practice address

269 Pearl St Ste 2
Burlington, VT 05401-8536

Phone

(802) 343-5790

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1831408129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S UNION ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014517",
            "telephone_number": "802-860-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 PEARL ST STE 2",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018536",
            "telephone_number": "802-343-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATHERINE",
        "middle_name": "ALMA",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Eugene Keller, M.D.
• Sheryl Peterson Keller, MD
• Kyle James Kellett
• Brian Kelley, APRN-BC,MSN
• Cathleen M Kelley, LICSW
• Andrea Lee Kelly, M.A.
• Brendan Kelly, L. AC.
• Erika Kelly
• Jamie L Kelly, PA
• Melissa Suzanne Kelly, MS, RD, CD

• Addiction (Substance Use Disorder) Counselor in Burlington, VT
• Providers in Burlington, VT by specialty
• Addiction (Substance Use Disorder) Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.