KATHRYN KELLEY (NPI# 1992186779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992186779 |
| Entity Type | Individual |
| Full Name | KATHRYN KELLEY |
| Credential | LMHC |
| Practice Address |
1120 Hancock St Quincy MA 02169-4313 |
| Practice Telephone | 6174718400 |
| Practice Fax Number | 6173768910 |
| Mailing Telephone | 6174718400 |
| Mailing Fax Number | 6173768910 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649469735 | Kathryn Kelley | Adult Companion | 5324 Ne 16th Ave, Portland, OR 97211-4910 | 2007-10-15 |
| 1588856074 | Kathryn Kelley | Physical Therapy Assistant | 75 Kings Highway Cutoff Ofc 4th, Fairfield, CT 06824-5340 | 2007-08-17 |
| 1457414773 | Kathryn A. Kelley | Counselor | 40 N Last Chance Gulch St, Helena, MT 59601-4122 | 2006-12-18 |
| 1376152603 | Kathryn Nicole Kelley | Community Health Worker | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2020-07-22 |
| 1356977839 | Kathryn Kelley | Physical Therapist | 23852 Michigan Ave, Dearborn, MI 48124-1829 | 2020-03-17 |
| 1144711946 | Kathryn Clare Kelley | Surgery | 801 Ostrum St, Bethlehem, PA 18015 | 2018-05-29 |
| 1952616765 | Kathryn Kay Kelley | Physical Therapy Assistant | 116 S Central Ave, Mulvane, KS 67110-1718 | 2010-08-17 |
| 1205011053 | Kathryn L Kelley | Nurse Practitioner | 17201 I H 45 S, Shenandoah, TX 77385-3311 | 2007-12-28 |
| Street Address |
1120 HANCOCK ST |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126865 | Bay State Community Services, Inc. | Clinic/Center | 1120 Hancock St, Quincy, MA 02169-4313 | 2005-07-07 |
| 1528675261 | Anthony Francis Delisi | Peer Specialist | 1120 Hancock St, Quincy, MA 02169-4313 | 2020-09-27 |
| 1447868872 | Courtney Cabrera | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2020-07-22 |
| 1255976411 | Cori Ann Taitz | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2019-11-12 |
| 1659915338 | Katherine Simpson | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2019-11-05 |
| 1740781590 | Amy Nicole Tattrie | Case Manager/Care Coordinator | 1120 Hancock St, Quincy, MA 02169-4313 | 2018-02-27 |
| 1821501396 | Mark Benjamin Stearns | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2017-11-07 |
| 1366967341 | Myungwoo Lee Ma | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2017-08-10 |
| 1154873768 | Natasha Whitney Channer | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2016-10-30 |
| 1881142198 | Chloe Richard | Counselor | 1120 Hancock St, Quincy, MA 02169-4313 | 2016-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434036 | Steven James Gibbons | Counselor | 85 Quincy Ave Ste B, Quincy, MA 02169-6764 | 2020-07-07 |
| 1538786553 | Nychelle Waiters | Counselor | 339 E Jefferson St, Quincy, FL 32351-2531 | 2020-06-26 |
| 1114542354 | Kelly D Walker | Counselor | 1942 W King St, Quincy, FL 32351-2057 | 2020-06-13 |
| 1659903128 | Haley Clifford | Counselor | 85 Quincy Ave, Quincy, MA 02169-6763 | 2020-02-12 |
| 1710430178 | Arlene Small | Counselor | 1419 Hancock St Ste 301, Quincy, MA 02169-5250 | 2016-08-02 |
| 1174908073 | John Edward Christian | Counselor | 1400 Hancock St Fl 2, Quincy, MA 02169-5233 | 2015-07-21 |
| 1083095533 | Thomas Patrick Fowkes | Counselor | 1233r Hancock St, Quincy, MA 02169-4342 | 2015-06-10 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1578828034 | Frances M Velona | Counselor | 1 Soar Ct, Quincy, MA 02171-1058 | 2012-07-11 |
| 1770849010 | Christopher M Dorval | Counselor | 36 Miller Stile Rd, Quincy, MA 02169-5423 | 2012-04-11 |
| Find all providers in QUINCY | ||||
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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.