MRS. LISA MARIE KELLEY (NPI# 1114057874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114057874 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE KELLEY |
| Credential | M.A., CADC, LADC1 |
| Practice Address |
338 Main St Wakefield MA 01880 |
| Practice Telephone | 7812462010 |
| Mailing Telephone | 7812462010 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003292509 | Lisa Kelley | Naturopath | 117 Free Street, C/o Headgames Spa, Portland, ME 04106 | 2015-08-06 |
| 1619245792 | Lisa Leigh Kelley | Acupuncturist | 1 Union Sq W Ste 715, New York, NY 10003-3303 | 2011-12-05 |
| 1376751446 | Lisa Nicole Kelley | Chiropractor | 7522 Grant St, Darien, IL 60561-4419 | 2007-05-20 |
| 1477655108 | Lisa S Kelley | Nurse Anesthetist, Certified Registered | 317 S Jackson St, Tullahoma, TN 37388-3471 | 2006-09-02 |
| 1497214043 | Lisa Kelley | Midwife | 63 Main St, Brockton, MA 02301-4042 | 2019-03-13 |
| 1376056903 | Lisa Kelley | Physical Therapist | 1 Arbor Ter, Fenton, MO 63026-3900 | 2017-11-06 |
| 1487102000 | Lisa Kelley | Physical Therapist | 2727 W Cleveland Ave, Milwaukee, WI 53215-2956 | 2016-09-12 |
| 1346635091 | Lisa Kelley | Speech-Language Pathologist | 1224 E Westview Ct, Spokane, WA 99218-3813 | 2015-03-31 |
| 1619370772 | Lisa Christine Kelley | Counselor | 13420 Reese Blvd W, Huntersville, NC 28078-7925 | 2014-10-03 |
| 1447504634 | Lisa M Kelley | Registered Nurse | 93 Barker Rd, Central Square, NY 13036-3460 | 2012-11-09 |
| Street Address |
338 MAIN ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154795979 | Thomas Langan | Counselor | 338 Main St, Suite 203, Wakefield, MA 01880-5042 | 2015-11-17 |
| 1275919490 | Kirsten Kilburn | Community Health Worker | 338 Main St, Wakefield, MA 01880-5042 | 2015-08-11 |
| 1548652894 | Jaclyn Stackhouse | Social Worker | 338 Main St, Wakefield, MA 01880-5042 | 2015-02-24 |
| 1639574387 | Jonathan Gardner Elkin | Community Health Worker | 338 Main St, Suite 301, Wakefield, MA 01880-5042 | 2014-10-23 |
| 1598170144 | Riverside Community Care | Community/Behavioral Health | 338 Main St, Suite 301, Wakefield, MA 01880-5042 | 2014-06-23 |
| 1588076020 | Susan Dahl | Counselor | 338 Main St, Suite 301, Wakefield, MA 01880-5042 | 2014-06-02 |
| 1659783397 | George White | Counselor | 338 Main St, 301, Wakefield, MA 01880-5042 | 2014-05-29 |
| 1962814046 | Rachael Schauer | Behavioral Analyst | 338 Main St, Wakefield, MA 01880-5042 | 2014-05-23 |
| 1720411465 | Danielle Balocca | Community Health Worker | 338 Main St, Suite 202, Wakefield, MA 01880-5042 | 2013-08-16 |
| 1891034526 | Donna M Macdonald | Community Health Worker | 338 Main St, Suite 202, Wakefield, MA 01880-5042 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982096855 | Bruce Rexrode | Counselor | 23 Kensington Ct S, Wakefield, RI 02879-7663 | 2015-03-02 |
| 1346670767 | Samantha Stark | Counselor | 50 Kendrick Rd, Wakefield, MA 01880-4353 | 2013-11-21 |
| 1881990539 | John William Wakefield | Counselor | 25a Bonair Ave, Wakefield, MA 01880-3650 | 2011-01-28 |
| 1497376891 | Mindfully Minded LLC | Counselor | 607 North Ave, Wakefield, MA 01880-1322 | 2020-04-27 |
| 1326405556 | Emily Allerton | Counselor | 1 River St, Wakefield, RI 02879-3214 | 2016-01-19 |
| 1851775878 | Virginia Werbicki | Counselor | 55 Cherry Ln, Wakefield, RI 02879-3617 | 2015-07-20 |
| 1346639218 | Audrey Nazareth | Counselor | 55 Cherry Ln, Wakefield, RI 02879-3617 | 2015-01-15 |
| 1306261557 | Kailynn Orr | Counselor | 55 Cherry Ln, Wakefield, RI 02879-3617 | 2014-02-25 |
| 1124372461 | Shirley Turner | Counselor | 338 Main St, Ste 301, Wakefield, MA 01880-5042 | 2012-11-08 |
| 1851640577 | Donna Marie Sennett | Counselor | 55 Cherry Ln, Wakefield, RI 02879-3617 | 2012-09-10 |
| Find all providers in WAKEFIELD | ||||
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| 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.