MR. TIMOTHY PATRICK KELLY LPC NPI 1558467811

NPI Information

  • NPI: 1558467811
  • Provider Name: MR. TIMOTHY PATRICK KELLY, LPC
  • Classification: Counselor - 101YP1600X
  • Specialization: Pastoral
  • Entity Type: Individual
  • Address: 3900 WOODLAND AVE
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 823-5800

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NPI Details

MR. Timothy Patrick Kelly, LPC is a pastoral counselor in Philadelphia, PA. MR. Timothy Patrick Kelly, LPC NPI is 1558467811. 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:

3900 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104-551
Phone: (215) 823-5800
Fax: (215) 823-5919

The enumeration date for this NPI number is 9/15/2006 and was last updated on 2/28/2008.

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
1101Y00000XCounselorPC001954PENNSYLVANIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)PC001954PENNSYLVANIANo
3101YM0800XCounselorMental HealthPC001954PENNSYLVANIANo
4101YP2500XCounselorProfessionalPC001954PENNSYLVANIANo
5103T00000XPsychologist01360OKLAHOMANo
6101YP1600XCounselorPastoralPC001954PENNSYLVANIAYes

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

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