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KELLY DALLAIRE LPC
NPI 1316338866
Counselor - Mental Health in Green Bay, WI

Active since February 05, 2015
425 S ADAMS ST STE 205, GREEN BAY, WI 54301(920) 737-7695 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Dallaire Lpc NPPES

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

KELLY DALLAIRE LPC (NPI 1316338866) is an individual mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (7682-125) and active in the NPI registry since February 2015. She maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1316338866
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY DALLAIRECredential: LPC
Location Address425 S ADAMS ST STE 205Green Bay, WI 54301-4117
Mailing Address615 Reid StDe Pere, WI 54115-1346 · (920) 737-7695
Phone(920) 737-7695
Sole ProprietorYes
Enumeration DateFebruary 5, 2015
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1316338866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 7682-125
425 S ADAMS ST STE 205, Green Bay, WI 54301
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Other Names 1

Former Name (1)Kelly Matzke Lpc

Secondary Practice Location 1

Location 1123 N Oakland AveGreen Bay, WI 54303-2831 · Phone (920) 770-4088 · Fax (651) 705-0026

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 Dallaire's NPI number?

The NPI number for Kelly Dallaire is 1316338866. It was assigned to this individual provider in the NPPES registry on February 5, 2015. The provider is also known as Kelly Matzke Lpc.

Where is Kelly Dallaire located?

Kelly Dallaire practices at 425 S Adams St Ste 205, Green Bay, WI 54301. The listed phone number is (920) 737-7695.

What is Kelly Dallaire'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 Kelly Dallaire was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.