Individual provider Active NPI

Kelly McGuire, LPC

  • Professional Counselor
  • Paramus, NJ
National Provider Identifier
1851805543
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00732300 Issued in NJ
Practice address
443 Abbott Rd
Paramus, NJ 07652-2103
Phone
(201) 248-2192
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00388900 NJ
Professional Counselor 101YP2500X 37PC00732300 NJ Primary

Addresses

Primary practice location

443 Abbott Rd
Paramus, NJ 07652-2103

Mailing address

443 Abbott Rd
Paramus, NJ 07652-2103

Other practice location 1

610 Valley Health Plz
Paramus, NJ 07652-3607
Phone (201) 265-8200 ext. 5335

Other practice location 2

65 Harristown Rd Ste 310
Glen Rock, NJ 07452-3315
Phone (732) 982-2888

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

LicenseStateTypeSpecialty
37AC00388900NJMDCounselor
37PC00732300NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C PastSince Mar 21, 2021 Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Jan 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kellymcguire@148376.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1851805543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 ABBOTT RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 ABBOTT RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522103",
            "telephone_number": "201-248-2192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Valley Health Plz",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523607",
            "country_code": "US",
            "telephone_number": "201-265-8200 x5335",
            "fax_number": "201-265-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Harristown Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Glen Rock",
            "state": "NJ",
            "postal_code": "074523315",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "KELLY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00388900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00732300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.