ELIZABETH KELLEY (NPI# 1124670617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124670617 |
| Entity Type | Individual |
| Full Name | ELIZABETH KELLEY |
| Practice Address |
11 Circle Ave Lynn MA 01905-3050 |
| Practice Telephone | 7815952413 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891165635 | Elizabeth Kelley | Counselor | Po Box 365, Oneida, WI 54155-0365 | 2015-10-06 |
| 1457768186 | Elizabeth Anne Kelley | Specialist/Technologist | 3913 Doeskin Dr, Apex, NC 27539-8652 | 2014-07-15 |
| 1194914499 | Elizabeth Kathleen Kelley | Licensed Practical Nurse | W4764 Hidden Pine Ln, Shawano, WI 54166-1650 | 2007-10-23 |
| 1306941356 | Elizabeth Kelley | Pharmacist | 5875 Bremo Rd Ste 209, Richmond, VA 23226-1934 | 2006-09-14 |
| 1699309724 | Elizabeth Kelley | Physician Assistant | 1574 Medical Center Pkwy Ste 104, Murfreesboro, TN 37129-3761 | 2020-02-27 |
| 1750879953 | Elizabeth Kelley | Counselor | 1080 N 7th St, San Jose, CA 95112-4425 | 2018-04-24 |
| 1770009193 | Elizabeth Kelley | Student in an Organized Health Care Education/Training Program | 489 Bernardston Rd, Greenfield, MA 01301-1238 | 2017-08-17 |
| 1700261591 | Elizabeth Anne Smith Kelley | Nurse Practitioner | 2214 Gateway Dr, #c, Opelika, AL 36801-1500 | 2015-07-22 |
| 1811305394 | Elizabeth Kelley | Counselor | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2014-07-28 |
| 1679852123 | Elizabeth Hopkins Kelley | Social Worker | 74 East St, Plainville, CT 06062-2367 | 2011-08-15 |
| Street Address |
11 CIRCLE AVE |
| City | LYNN |
| State | MA |
| Zip Code | 01905-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972655082 | Sarah Elizabeth Pellini | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2007-01-17 |
| 1578181129 | Patricia Ann Marino | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2020-07-10 |
| 1588206403 | Kimberly Ann Abisso | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-10-11 |
| 1689216814 | Hillary Coughlin | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-10-09 |
| 1619525615 | Sarah Goldberg | Social Worker | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-09-03 |
| 1750938940 | Richard Louis Thibault Jr. | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-08-22 |
| 1386200129 | Cindi M Mumbauer | Registered Nurse | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-05-17 |
| 1477118792 | Michael Andrew Priestman | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-05-02 |
| 1194287797 | Debra Jean Nicholson | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-04-02 |
| 1013472182 | Kristen Congelosi | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783560 | Annie Marie Helmkamp | Nurse Practitioner | Ati Worksite Solutions, Ge Aviation, 1000 Western Avenue, Lynn, MA 01905 | 2020-02-27 |
| 1215419395 | Bridget Depoy | Social Worker | Fallon School, 100 Robinson St., Lynn, MA 01905 | 2018-09-05 |
| 1093294845 | Tina Hoofnagle | Social Worker | 100 Bennett Street, Lynn, MA 01905 | 2018-08-13 |
| 1740768704 | Tamba-kromah Ventures LLC | Non-emergency Medical Transport (VAN) | 29 Dungeon Ave, Lynn, MA 01905 | 2018-08-01 |
| 1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
| 1235593773 | Daniel Burke | Physician Assistant | 1000 Western Ave Bldg 44, Lynn, MA 01905 | 2016-04-11 |
| 1366825374 | Humble Care Givers | Technician | 15 River Street Place, Lynn, MA 01905 | 2015-07-08 |
| 1861815649 | Krystle Lee Concepcion | Occupational Therapist | 9 Needhams Landing Road Apt. 401, Lynn, MA 01905 | 2014-01-29 |
| 1134497423 | Rachel Tami Davis | Social Worker | 800 Cummings Ctr Suite 266 T, Beverly, MA 01905 | 2011-12-01 |
| 1043534316 | Eh Moo Htoo | Counselor | 447 Summer St, Apt 1, Lynn, MA 01905 | 2010-03-16 |
| Find all providers in zip 01905 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490077 | Caroline Benavides | Counselor | 35 Cherry St # 2, Lynn, MA 01902-3104 | 2020-06-02 |
| 1124662390 | Kayleigh O'hara | Counselor | 20 Central Ave Fl 6, Lynn, MA 01901-1201 | 2019-10-31 |
| 1306308630 | Nicole Hicks | Counselor | 28 Saunders Rd, Lynn, MA 01904-1571 | 2019-04-04 |
| 1346712841 | Achiri Asongwed | Counselor | 28 Virginia Ter, Lynn, MA 01904-2611 | 2018-12-20 |
| 1316433725 | Shandalee Colon | Counselor | 70 Alden St, Lynn, MA 01902-1161 | 2018-07-09 |
| 1376039933 | Marlenne Duarte | Counselor | 5 Milton Ridge Rd, Lynn, MA 01902-1586 | 2018-07-06 |
| 1942726807 | Ercira Mejia | Counselor | 87 Laighton St, Lynn, MA 01902-4022 | 2017-08-22 |
| 1093237232 | Carrissa L Moniz | Counselor | 20 Central Ave Fl 3, Lynn, MA 01901-1201 | 2017-07-10 |
| 1346777604 | Noha Abdel Kareem Almomani | Counselor | 37 Eutaw Ave, Lynn, MA 01902-2105 | 2017-05-17 |
| 1588197347 | Yevgeniy Mazor-thomas | Counselor | 181 Union St # J, (781) 244-1950, Lynn, MA 01901-1311 | 2017-04-09 |
| Find all providers in LYNN | ||||
Please comment or provide details below to improve the information on ELIZABETH 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.