Active NPI
Kelly Sutliff, LPC,
- Professional Counselor
- Madison, NJ
National Provider Identifier
1831474675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00402700
- Practice address
- 37 Kings Rd
Suite 205
Madison, NJ 07940-2500 - Phone
- (973) 224-2574
- NPI assigned
- Oct 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00402700 | NJ | Primary |
Addresses
Primary practice location
37 Kings Rd
Suite 205
Madison, NJ 07940-2500
Mailing address
7 Fenwick Rd
Whippany, NJ 07981-2302
Phone (973) 224-2574
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 |
|---|---|---|---|
| 37PC00402700 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1831474675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 FENWICK RD",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079812302",
"telephone_number": "973-224-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 KINGS RD",
"address_2": "SUITE 205",
"city": "MADISON",
"state": "NJ",
"postal_code": "079402500",
"telephone_number": "973-224-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTLIFF",
"first_name": "KELLY",
"name_prefix": "Ms.",
"credential": "LPC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00402700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Catherine Tatevosyan, LCSW
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.