KELLY POOLE LMHC NPI 1427655117

NPI Information

  • NPI: 1427655117
  • Provider Name: KELLY POOLE, LMHC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Individual
  • Address: 11 PATERSON AVE
    MIDLAND PARK, NJ
    ZIP 07432
  • Phone: (201) 213-8212

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NPI Details

Kelly Poole, LMHC is a marriage family therapist in Midland Park, NJ. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Kelly Poole, LMHC NPI is 1427655117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11 PATERSON AVE
MIDLAND PARK, NJ
ZIP 07432-829
Phone: (201) 213-8212

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/27/2024.

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 Health010737NEW YORKNo
2106H00000XMarriage & Family Therapist37PC00890200NEW 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: 3/30/2025

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