NPIMap

Organization Active NPI

Christie Kelly Licensed Professional Counseling LLC

  • Professional Counselor
  • Warrendale, PA
National Provider Identifier
1982310231
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHRISTIE KELLY LICENSED PROFESSIONAL COUNSELING LLC
Practice address
1 Williams Place
Suite G2
Warrendale, PA 15086
Phone
(814) 730-2599
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Christian Kelly
Title
Owner
Phone
(814) 730-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1 Williams Place
Suite G2
Warrendale, PA 15086

Mailing address

1 Williams Place
Suite G2
Warrendale, PA 15086
Phone (814) 730-2599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1982310231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLIAMS PLACE",
            "address_2": "SUITE G2",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "15086",
            "telephone_number": "814-730-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAMS PLACE",
            "address_2": "SUITE G2",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "15086",
            "telephone_number": "814-730-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE KELLY LICENSED PROFESSIONAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-730-2599"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrendale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.