KELSEY A. SKERPAN (NPI# 1518411941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518411941 |
| Entity Type | Individual |
| Full Name | KELSEY A. SKERPAN |
| Other Name | KELSEY A. REED |
| Credential | MA, LMHC, ATR-BC |
| Practice Address |
280 Princeton Avenue Ext Corning NY 14830-1524 |
| Practice Telephone | 6077384538 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
010120 | NY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
10777 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Harbor St, Danvers, MA 019233390 | 9786196783 | |
| 20 Eastbrook Rd, Suite 104, Dedham, MA 020262075 | 7813299365 | 7813024635 |
| Street Address |
280 PRINCETON AVENUE EXT |
| City | CORNING |
| State | NY |
| Zip Code | 14830-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689712820 | Candice A Cleveland | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-02-01 |
| 1669017281 | Lyndsay Victoria Zastawny | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2019-11-07 |
| 1215571351 | Angela Marie Button | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2019-11-01 |
| 1598230237 | Alisha Renee Ost | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2018-10-09 |
| 1902308679 | Diione Fox-murch | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2018-03-08 |
| 1518404516 | Donna Jo Wood | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2017-01-27 |
| 1437498045 | Karin Lewis | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2013-02-04 |
| 1205197605 | Nichole Renee Eaton | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2012-06-01 |
| 1962785766 | Renae Katherine Carapella-johnson | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2011-09-28 |
| 1154528859 | Michele M Mayer | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
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| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786229 | Calista Ann Conyac | Counselor | 908 Benton Avenue, Corning, IA 50841-5160 | 2020-10-07 |
| 1700056892 | Jennifer Hillman | Counselor | 114 Chestnut St, Corning, NY 14830-2514 | 2008-03-05 |
| 1689712820 | Candice A Cleveland | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-02-01 |
| 1609925817 | Family Service Society Inc | Counselor | 280 Princeton Ave Ext, Corning, NY 14830-1524 | 2007-01-09 |
| 1649373002 | Andrew Ober Taylor | Counselor | 145 East 2nd Street, Corning, NY 14850 | 2006-09-07 |
| 1659979227 | Emily Frances Rush Mcclintock | Counselor | 114 Chestnut St, Corning, NY 14830-2514 | 2020-10-15 |
| 1225690399 | Jolie Merrill | Counselor | 77 E 1st St, Corning, NY 14830-2715 | 2019-06-28 |
| 1265901201 | Cynthia Lyn Gee | Counselor | 33 Denison Pkwy W, Corning, NY 14830-2613 | 2018-11-20 |
| 1598230237 | Alisha Renee Ost | Counselor | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2018-10-09 |
| 1588139778 | Jennifer Briggs Ellison | Counselor | 77 E 1st St, Corning, NY 14830-2715 | 2018-10-04 |
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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.