KATHLEEN KELLEY (NPI# 1962688085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962688085 |
| Entity Type | Individual |
| Full Name | KATHLEEN KELLEY |
| Practice Address |
28 Park Ave Catamount Center, Suite 110 Williston VT 05495 |
| Mailing Address |
124 Covington Ln Shelburne VT 05482-6657 |
| Practice Telephone | 8028780550 |
| Mailing Telephone | 8023101654 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0680000352 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | LCMHC | 0680000352 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972910925 | Kathleen Kelley | Social Worker | 2813e Wyoming Dr, Sinking Spring, PA 19608-1618 | 2014-07-22 |
| 1568691756 | Kathleen Kelley | Nurse Practitioner | 15110 Boones Ferry Rd Ste 248, Lake Oswego, OR 97035-3498 | 2009-07-08 |
| 1477617447 | Kathleen Kelley | Counselor | 99 University Place, 4th Floor, New York, NY 10003-8971 | 2006-12-21 |
| 1649388513 | Kathleen M Kelley | Nurse Practitioner | 1952 Long Grove Dr, Suite 202, Mt Pleasant, SC 29464 | 2006-08-29 |
| 1265443014 | Kathleen Cranford Kelley | Nurse Practitioner | 1092 General George Patton Rd, Nashville, TN 37221-2599 | 2006-08-10 |
| 1871501353 | Kathleen Ann Kelley | Pharmacist | 2943 Seneca Street, West Seneca, NY 14224-1950 | 2006-08-03 |
| 1992760797 | Kathleen S. Kelley | Internal Medicine | 498 University Blvd, Suite F, Harrisonburg, VA 22801 | 2006-04-18 |
| 1952773525 | Kathleen Kelley | Physician Assistant | 464 Congress Ave, Suite 260, New Haven, CT 06519-1361 | 2015-10-22 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1861882557 | Kathleen Helen Kelley | Dietitian, Registered | 15 Palomba Dr, 2, Enfield, CT 06082-3888 | 2015-02-02 |
| Street Address |
28 PARK AVE CATAMOUNT CENTER, SUITE 110 |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801868005 | Patrick Cornelius Kearney | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2006-02-02 |
| 1396382628 | Diane Paulette Collias | Social Worker | 28 Park Ave, Williston, VT 05495-9701 | 2019-12-05 |
| 1518457746 | Danielle Jasinski | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2018-05-14 |
| 1669979068 | Cheryl Underwood | Registered Nurse | 28 Park Ave, Williston, VT 05495-9701 | 2018-04-11 |
| 1326497306 | Danielle Beaudoin | Nurse Practitioner | 28 Park Ave, Williston, VT 05495-9701 | 2016-06-09 |
| 1558702357 | Elizabeth Kathryn Loscalzo | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2013-07-10 |
| 1982945036 | Adrienne Voutila | Physician Assistant | 28 Park Ave, Williston, VT 05495-9701 | 2013-03-13 |
| 1902161698 | Kathryn Rick | Psychologist | 28 Park Ave, Suite 110, Williston, VT 05495-9701 | 2012-07-09 |
| 1134387244 | Rebecca Lynne Joyce | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2008-05-26 |
| 1588790562 | Evergreen Family Health Partners | Family Medicine | 28 Park Ave, Williston, VT 05495-9701 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682174 | Maya Kunigis | Counselor | 334 Southridge Rd, Williston, VT 05495-5238 | 2020-09-02 |
| 1932737103 | Tori S Wallace-jackson | Counselor | 17030 Nw 162nd Ter, Williston, FL 32696-4329 | 2020-03-31 |
| 1821501412 | Sawyer James Lecompte | Counselor | 8031 Williston Rd, Williston, VT 05495-6200 | 2017-11-06 |
| 1679882351 | New England Counseling and Trauma Associate | Counselor | 25 Wentworth Drive, Williston, VT 05495 | 2010-09-29 |
| 1710298914 | Erin Gade | Counselor | 135 Allen Brook Ln Ste 102, Williston, VT 05495-9203 | 2010-06-23 |
| 1174657597 | Sb Lewis Associates, PC | Counselor | 28 Park Ave Ste 110, Williston, VT 05495-9703 | 2007-03-15 |
| 1194887448 | Angela Ferenc | Counselor | 25 Wentworth Dr, Williston, VT 05495-9733 | 2006-12-14 |
| 1417410275 | Katherine Eick | Counselor | 316 2nd Ave W, Williston, ND 58801-5218 | 2019-04-09 |
| 1205367885 | Sonia Monreal-luna Martinez | Counselor | 316 2nd Ave West, Williston, ND 58802 | 2017-03-24 |
| 1407396005 | Rachelle Poser | Counselor | 316 2nd Ave W, Williston, ND 58801-5218 | 2017-03-01 |
| Find all providers in WILLISTON | ||||
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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.