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MRS. EDILIA P KELLY LAC
NPI 1073947990
Counselor in Fair Lawn, NJ

Active since August 27, 2013
22-08 ROUTE 208, FAIR LAWN, NJ 07410(201) 956-6363 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Edilia P Kelly Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EDILIA P KELLY LAC (NPI 1073947990) is an individual counselor in Fair Lawn, New Jersey, licensed in New Jersey (37AC0017500) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1073947990
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. EDILIA P KELLYCredential: LAC
Location Address22-08 ROUTE 208Fair Lawn, NJ 07410-2609
Mailing Address89 Gate House LnEdison, NJ 08820-4011 · (201) 956-6363
Phone(201) 956-6363
Sole ProprietorNo
Enumeration DateAugust 27, 2013
✔ NPI 1073947990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NJ · 37AC0017500
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
22-08 ROUTE 208, Fair Lawn, NJ 07410
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERARDO HERNANDEZ-VENERO
Peer Specialist
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 394-6333
MR. ARA KOUYOUMDJIAN
Peer Specialist
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 466-0483
MS. JOANNE MCCARTHY LPC, LMHC
Counselor (Professional)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 956-6363
DIANE CLAIRE ABEL LCSW
Social Worker (Clinical)
22-08 ROUTE 208, SUITE 7
FAIR LAWN, NJ 07410
Bergen County (201) 261-2800
AILEEN OK
Counselor (Professional)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 956-6363
ERIN BENNINGTON LCSW
Social Worker (Clinical)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 956-6363
GRACE LEE
Counselor (Mental Health)
22-08 ROUTE 208
FAIR LAWN, NJ 07410
Bergen County (201) 956-6363
CHILDREN'S AID AND FAMILY SERVICES, INC.
Community/Behavioral Health
22-08 ROUTE 208, SUITE 7
FAIR LAWN, NJ 07410
Bergen County (201) 261-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edilia Kelly's NPI number?

The NPI number for Edilia Kelly is 1073947990. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Where is Edilia Kelly located?

Edilia Kelly practices at 22-08 Route 208, Fair Lawn, NJ 07410. The listed phone number is (201) 956-6363.

What is Edilia Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Edilia Kelly was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.