Active NPI
Caitlin Kelly, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1902453046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005743-1
- Practice address
- 484 W 43Rd St Apt 23H
New York, NY 10036-6341 - Phone
- (212) 564-5228
- NPI assigned
- Aug 22, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005743-1 | NY | Primary |
Addresses
Primary practice location
484 W 43Rd St Apt 23H
New York, NY 10036-6341
Mailing address
484 W 43Rd St Apt 23H
New York, NY 10036-6341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005743-1 | Other | NY | MENTAL HEALTH COUNSELOR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CAQH | Direct | |
| Direct Messaging Address | ckelly@ppasshare.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1902453046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 W 43RD ST APT 23H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 W 43RD ST APT 23H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366341",
"telephone_number": "212-564-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "CAITLIN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "005743-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH COUNSELOR",
"identifier": "005743-1",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CAQH",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "New York",
"address_1": "484 W 43rd St Apt 23H",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100366341",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckelly@ppasshare.org",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "484 W 43rd St Apt 23H",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100366341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.