SAMANTHA KELLAR LPC LLC (NPI# 1568998227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568998227 |
| Entity Type | Organization |
| Organization Name | SAMANTHA KELLAR LPC LLC |
| Practice Address |
49 Ballantine Rd Middletown NJ 07748-3000 |
| Practice Telephone | 9738791024 |
| Mailing Telephone | 9738791024 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MRS. SAMANTHA KELLAR (PRESIDENT) |
| Authorized Official Telephone | 9738791024 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 37PC00460500 | NJ | Agencies |
| Street Address |
49 BALLANTINE RD |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780818 | Freedom Life Therapy and Wellness, LLC | Community/Behavioral Health | 76 Berkeley Rd, Middletown, CT 06457-4107 | 2020-11-04 |
| 1144831181 | Ymca of Greater Monmouth County | Community/Behavioral Health | 147 Kings Hwy, Middletown, NJ 07748-2003 | 2020-08-13 |
| 1013528058 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1001 Middletown Lincroft Rd, Middletown, NJ 07748-3215 | 2020-08-13 |
| 1588129761 | Ymca of Greater Monmouth County | Community/Behavioral Health | 925 Nutswamp Rd, Middletown, NJ 07748-3810 | 2019-02-01 |
| 1932670841 | Megan Eileen Haight Daley | Community/Behavioral Health | 390 Crystal Run Rd Ste 107, Middletown, NY 10941-4051 | 2018-12-17 |
| 1235678012 | Ymca of Greater Monmouth County | Community/Behavioral Health | 100 Murphy Rd, Middletown, NJ 07748-1610 | 2017-02-14 |
| 1578937470 | A.m. Hart Parenting Consulting LLC | Community/Behavioral Health | 123 Newfield St, Middletown, CT 06457-2546 | 2015-11-17 |
| 1386043594 | Lutheran Family Services of Virginia, Inc. | Community/Behavioral Health | 190 Mustang Ln, Middletown, VA 22645-1722 | 2014-08-14 |
| 1447535422 | Staffmore | Community/Behavioral Health | 410 N Ramunno Dr Unit 505, Middletown, DE 19709-3088 | 2011-10-20 |
| 1093005985 | The Next Right Thing | Community/Behavioral Health | 1001 Grove St, #300, Middletown, OH 45044-5890 | 2011-04-12 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
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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.