MRS. KELLY MEDVIN LPC NCC NPI 1598270571

NPI Information

  • NPI: 1598270571
  • Provider Name: MRS. KELLY MEDVIN, LPC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 268 GREEN VILLAGE RD
    GREEN VILLAGE, NJ
    ZIP 07935
  • Phone: (917) 922-1693

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NPI Details

MRS. Kelly Medvin, LPC, NCC is a mental health counselor in Green Village, NJ. MRS. Kelly Medvin, LPC, NCC NPI is 1598270571. 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:

268 GREEN VILLAGE RD
GREEN VILLAGE, NJ
ZIP 07935-027
Phone: (917) 922-1693

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.

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 Health37PC00585800NEW 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

NPI Synchronization or Removal

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