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KELLY ANN KORTIS
NPI 1093536336
Peer Specialist in Valley Stream, NY

Active since October 21, 2024
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580(516) 569-6600 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Ann Kortis NPPES

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

KELLY ANN KORTIS (NPI 1093536336) is an individual peer specialist in Valley Stream, New York and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1093536336
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY ANN KORTIS
Location Address50 W HAWTHORNE AVEValley Stream, NY 11580-6223
Mailing Address3285 Wolfson DrBaldwin, NY 11510-4945 · (718) 510-3486
Phone(516) 569-6600
Sole ProprietorYes
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 20, 2024
✔ NPI 1093536336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
50 W HAWTHORNE AVE, Valley Stream, NY 11580
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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.

NICOLE DREY
Social Worker
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 352-9663
JEANNINE RUTH SIMS
Counselor
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
MS. ASHLEY BELBOL
Counselor (Mental Health)
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
LORI BETH WARNER LMSW
Social Worker
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (515) 569-6600
ERROL DEAN BRAITHWAITE MBA
Counselor
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
JENNIFER MARIE HOLLAND
Case Manager/Care Coordinator
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
MRS. BARI LYNN TANNENBAUM LMSW
Counselor (Mental Health)
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600
REBECCA ROBERTS
Social Worker
50 W HAWTHORNE AVE
VALLEY STREAM, NY 11580
Nassau County (516) 569-6600

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 Kelly Kortis's NPI number?

The NPI number for Kelly Kortis is 1093536336. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Kelly Kortis located?

Kelly Kortis practices at 50 W Hawthorne Ave, Valley Stream, NY 11580. The listed phone number is (516) 569-6600.

What is Kelly Kortis's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Kortis was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.