KELLY A SALLIE LCADC, CPRS, CCTP
NPI 1386319960
Counselor - Addiction (Substance Use Disorder) in Mount Tabor, NJ

Active since August 15, 2021
14 HILSINGER RD # 240, MOUNT TABOR, NJ 07878(973) 404-0214 Get Directions Write a Review

NPPES record last updated: August 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly A Sallie Lcadc, Cprs, Cctp NPPES

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

KELLY A SALLIE LCADC, CPRS, CCTP (NPI 1386319960) is an individual addiction (substance use disorder) provider in Mount Tabor, New Jersey, licensed in New Jersey (37LC00331800) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1386319960
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY A SALLIECredential: LCADC, CPRS, CCTP
Location Address14 HILSINGER RD # 240Mount Tabor, NJ 07878-9226
Mailing AddressPo Box 240Mount Tabor, NJ 07878-0240 · (973) 404-0214
Sole ProprietorYes
Enumeration DateAugust 15, 2021
NPPES CertifiedAugust 15, 2021
NPI 1386319960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NJ · 37LC00331800
Also ListedCounselorTaxonomy 101Y00000X · License 37LC00331800 (NJ)
14 HILSINGER RD # 240, Mount Tabor, NJ 07878

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 Sallie's NPI number?

The NPI number for Kelly Sallie is 1386319960. It was assigned to this individual provider in the NPPES registry on August 15, 2021.

Where is Kelly Sallie located?

Kelly Sallie practices at 14 Hilsinger Rd # 240, Mount Tabor, NJ 07878. The listed phone number is (973) 404-0214.

What is Kelly Sallie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Sallie was last updated on August 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.