PATRICK MULLEN KELLY MA LAC NCC NPI 1164154563

NPI Information

  • NPI: 1164154563
  • Provider Name: PATRICK MULLEN KELLY, MA, LAC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6 JANE TER
    MENDHAM, NJ
    ZIP 07945
  • Phone: (973) 452-3348

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NPI Details

Patrick Mullen Kelly, MA, LAC, NCC is a mental health counselor in Mendham, NJ. Patrick Mullen Kelly, MA, LAC, NCC NPI is 1164154563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6 JANE TER
MENDHAM, NJ
ZIP 07945-117
Phone: (973) 452-3348

The enumeration date for this NPI number is 6/26/2022 and was last updated on 6/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health37AC00556700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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