TIMOTHY L KELLY MA LPC NPI 1639682099

NPI Information

  • NPI: 1639682099
  • Provider Name: TIMOTHY L KELLY, MA, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 610 S BURDICK ST
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (269) 381-3700

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NPI Details

Timothy L Kelly, MA, LPC is a professional counselor in Kalamazoo, MI with 14 years of experience. Timothy L Kelly, MA, LPC NPI is 1639682099. 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:

610 S BURDICK ST
KALAMAZOO, MI
ZIP 49007-221
Phone: (269) 381-3700
Fax: (269) 381-3810

The NPI 1639682099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.

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
1101YP2500XCounselorProfessional6401016200MICHIGANYes

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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