KELLY E. VENEZIA CRILLY LAC, NCC
NPI 1306506472
Counselor in Mahwah, NJ

Q: What is Kelly Venezia Crilly's NPI number?

The NPI number for Kelly Venezia Crilly is 1306506472. It was assigned to this individual provider in the NPPES registry on December 30, 2021. The provider is also known as Kelly Venezia.

Q: What is Kelly Venezia Crilly's specialty?

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

Active since December 30, 2021

860 WYCKOFF AVE STE 206&305, MAHWAH, NJ 07430(551) 319-2029 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly E. Venezia Crilly Lac, Ncc NPPES

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

KELLY E. VENEZIA CRILLY LAC, NCC (NPI 1306506472) is an individual counselor in Mahwah, New Jersey, licensed in New Jersey (37AC00614600) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1306506472

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLY E. VENEZIA CRILLYCredential: LAC, NCC

Location Address860 WYCKOFF AVE STE 206&305Mahwah, NJ 07430-3186

Mailing Address29 Hibernia RdRockaway, NJ 07866-1824 · (862) 377-4172

Phone(551) 319-2029

Sole ProprietorYes

Enumeration DateDecember 30, 2021

NPPES CertifiedDecember 30, 2021

✔ NPI 1306506472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NJ · 37AC00614600

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.

Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 1086514 (NJ)

860 WYCKOFF AVE STE 206&305, Mahwah, NJ 07430

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Other Names 1

Former Name (1)Kelly Venezia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Venezia Crilly's NPI number?

The NPI number for Kelly Venezia Crilly is 1306506472. It was assigned to this individual provider in the NPPES registry on December 30, 2021. The provider is also known as Kelly Venezia.

Where is Kelly Venezia Crilly located?

Kelly Venezia Crilly practices at 860 Wyckoff Ave Ste 206&305, Mahwah, NJ 07430. The listed phone number is (551) 319-2029.

What is Kelly Venezia Crilly's specialty?

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

What insurance does Kelly Venezia Crilly accept?

Health plans from Providence Health Plan list Kelly Venezia Crilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Venezia Crilly was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.