Individual provider Active NPI

Emily Jeanne Kelleher, MA, LMHC, GCEA

  • Mental Health Counselor
  • Middletown, RI
National Provider Identifier
1871627950
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00311 Issued in RI
Practice address
26 Valley Rd
Middletown, RI 02842-6371
Phone
(401) 848-6363
Fax
(401) 848-6389
NPI assigned
Mar 14, 2007
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC00311 RI Primary

Addresses

Primary practice location

26 Valley Rd
Middletown, RI 02842-6371

Mailing address

90 Wolcott Ave
Middletown, RI 02842-5921
Phone (401) 848-6363

Other identifiers 1

IdentifierTypeStateIssuer
EA64005MedicaidRI

Other names 1

  • Ms. Emily Jeanne Allen Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MHC00311RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1871627950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WOLCOTT AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425921",
            "telephone_number": "401-848-6363",
            "fax_number": "401-848-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426371",
            "telephone_number": "401-848-6363",
            "fax_number": "401-848-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "EMILY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC, GCEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EA64005",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ALLEN",
            "middle_name": "JEANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.