KELLY KECK


Address: 116 W 23rd St, New York, NY 10011-2599
Phone: 9149439672

KELLY KECK (NPI# 1831529387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831529387
Entity Type Individual
Full Name KELLY KECK
Credential LMHC
Practice Address 116 W 23rd St
New York
NY 10011-2599
Mailing Address 3049 49th St Apt 1n
Astoria
NY 11103-1325
Practice Telephone 9149439672
Mailing Telephone (914) 943-9672
Enumeration Date 2013-11-20
Last Update Date 2017-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
008011 NY Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 116 W 23RD ST
City NEW YORK
State NY
Zip Code 10011-2599

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1427423391 Mary Tate Social Worker 116 W 23rd St, New York, NY 10011-2599 2015-12-03
1477808350 Florence E Larsen Social Worker 116 W 23rd St, 5th Floor, New York, NY 10011-2599 2012-07-17
1891067377 Innovative Career Center LLC Psychologist 116 W 23rd St, #206, 5th Floor, New York, NY 10011-2599 2012-01-31
1275811358 H L Himes Psychologist 116 W 23rd St, Suite 500, New York, NY 10011-2599 2011-07-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10011

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Dataset Information

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.

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