Kellie A McIntyre, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00476200 Issued in NJ

Practice address

2000 Pennington Rd # 413
Ewing, NJ 08618-1104

Phone

(609) 429-6596

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1962082750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 S OXFORD VALLEY RD UNIT 416",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190304218",
            "telephone_number": "609-429-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PENNINGTON RD # 413",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181104",
            "telephone_number": "609-429-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "KELLIE",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00476200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "electronic health record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "database",
            "address_1": "35 Johnson Dr",
            "city": "Belle Mead",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085025133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Spring Robin Matthews-Brown, MD
• Ophelia Osinachi Matthews, APN
• Melissa McCausland, PSYD
• Katrina McGowan, RN
• Courtney Suzanne McGuire, PT, DPT
• Meals on Wheels of Mercer County, Inc.
• Medallion Care Hamilton
• Medexpress Urgent Care - New Jersey, Inc
• Vivian Medina
• Meditelecare of New Jersey LLC

• Mental Health Counselor in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.