JUSTINE KELLEY (NPI# 1043851074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043851074 |
| Entity Type | Individual |
| Full Name | JUSTINE KELLEY |
| Credential | LGPC |
| Practice Address |
3900 Forestville Rd Forestville MD 20747-4715 |
| Practice Telephone | 2402966072 |
| Mailing Telephone | 2402966072 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254966 | Justine R Kelley | Dentist | 1540 Beacon St, Brookline, MA 02446-2215 | 2005-06-13 |
| Street Address |
3900 FORESTVILLE RD |
| City | FORESTVILLE |
| State | MD |
| Zip Code | 20747-4715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902015936 | Vesta, Inc. | Community/Behavioral Health | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2007-05-22 |
| 1639785413 | Nicole Griffith | Social Worker | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2020-09-17 |
| 1073093944 | Vesta, Inc. | Community/Behavioral Health | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2018-08-20 |
| 1174926828 | Marjorie Roberson | Social Worker | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2014-10-08 |
| 1982037123 | Lorna Darlene Dutton | Social Worker | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2013-08-12 |
| 1871704346 | Elizabeth Dresser | Social Worker | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2007-05-25 |
| 1548471022 | Vesta, Inc. | Community/Behavioral Health | 3900 Forestville Rd, Forestville, MD 20747 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362649 | Afua Birago Opoku-debrah | Optometrist | 3309 Forestville Road, Forestville, MD 20747 | 2018-07-02 |
| 1386161644 | Anyinwi Suh Frankai | Home Health Aide | Apt 104 Silver Hill Court, District Heights, MD 20747 | 2017-08-28 |
| 1811418858 | House of Still Inc | Case Management | 5416 Stoney Meadows Drive, District Heights, MD 20747 | 2017-06-29 |
| 1952844193 | Ashley Lynn Roberson | Social Worker | 7610 Pennsylvania Ave Ste 203, Forestville, MD 20747 | 2016-11-20 |
| 1396120622 | Help N Hands Transportation | Non-emergency Medical Transport (VAN) | 6120 Surrey Square Ln, T-3, District Heights, MD 20747 | 2015-07-28 |
| 1912254491 | Robin Maria West | Home Health Aide | 21 Tunic Ave, Capitol Hieghts, MD 20747 | 2012-08-14 |
| 1467713529 | Natasha Tann | Home Health Aide | 1966 Rochelle Ave, # 922, District Heights, MD 20747 | 2012-06-06 |
| 1568755585 | Jamar Domonic Smith | Physical Therapist | 2810 Walters Lane Suite 100, District Heights, MD 20747 | 2011-05-24 |
| 1366615288 | Sld Services | Assisted Living Facility | 7402 Kipling Park Way, District Heights, MD 20747 | 2008-04-11 |
| 1285777375 | Lorenzo Austin | Chiropractor | 5730-a Silver Hill Rd, District Heights, MD 20747 | 2007-02-15 |
| Find all providers in zip 20747 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932653482 | Nichole Blackmon | Counselor | 2110 Brooks Dr, Apartment 404, Forestville, MD 20747-1064 | 2016-08-12 |
| 1194186940 | Ashes Rising Counseling Services LLC | Counselor | 6608 Wilkins Pl, Forestville, MD 20747-4155 | 2016-03-08 |
| 1811329733 | Tamarah Teixeira | Counselor | 7610 Pennsylvania Ave, Forestville, MD 20747-4701 | 2013-08-01 |
| 1730438136 | Lee-ann Hawkins | Counselor | 7610 Pennsylvania Ave, 203, Forestville, MD 20747-4701 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780412 | Christina Johnson | Counselor | 5532 Dartmouth St, Churchton, MD 20733-9615 | 2020-11-08 |
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1609476399 | Sarah Elaine Rybak | Counselor | 6517 Shenandoah Dr, Eldersburg, MD 21784-8220 | 2020-10-30 |
| 1043810872 | Jessica Ann Piazza | Counselor | 5004 Honeygo Center Dr Ste 102-259, Perry Hall, MD 21128-8963 | 2020-10-30 |
| 1992305205 | Jacqueline Justiniano Myers | Counselor | 7161 Columbia Gateway Dr Ste D, Columbia, MD 21046-2617 | 2020-10-27 |
| 1821698242 | Pride of Nyla, LLC | Counselor | 5557 Baltimore Ave Ste 500-1265, Hyattsville, MD 20781-1922 | 2020-10-26 |
| 1407453939 | Marissa Block LLC | Counselor | 541 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-07 |
| 1770180838 | Legacy Family Services, LLC | Counselor | 11415 Old Pond Dr, Glenn Dale, MD 20769-9154 | 2020-10-01 |
| 1679170724 | Joseph E Bullock Jr. | Counselor | 8757 Thornbrook Dr, Odenton, MD 21113-3409 | 2020-10-01 |
| 1073120549 | Jacquean Lynette Kosh | Counselor | 711 Harry S Truman Dr Apt 210, Largo, MD 20774-2095 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | FORESTVILLE |
| Zip Code | 20747 |
Please comment or provide details below to improve the information on JUSTINE KELLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.