1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Counselor
  6. NPI Profile

BEVERLY KELLY
NPI 1104299882
Counselor - Mental Health in Philadelphia, PA

Active since November 04, 2015
150 W WALNUT PARK DR, PHILADELPHIA, PA 19120(267) 226-5096 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Kelly NPPES

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

BEVERLY KELLY (NPI 1104299882) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1104299882
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBEVERLY KELLY
Location Address150 W WALNUT PARK DRPhiladelphia, PA 19120-1011
Mailing Address150 W Walnut Park DrPhiladelphia, PA 19120-1011 · (267) 226-5096
Phone(267) 226-5096
Sole ProprietorYes
Enumeration DateNovember 4, 2015
✔ NPI 1104299882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
150 W WALNUT PARK DR, Philadelphia, PA 19120
Open in Google Maps ↗

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 Beverly Kelly's NPI number?

The NPI number for Beverly Kelly is 1104299882. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Beverly Kelly located?

Beverly Kelly practices at 150 W Walnut Park Dr, Philadelphia, PA 19120. The listed phone number is (267) 226-5096.

What is Beverly Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Beverly Kelly was last updated on November 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.