KELLY O'SULLIVAN LPC
NPI 1386414332
Counselor - Mental Health in Fair Lawn, NJ

Q: What is Kelly O'sullivan's NPI number?

The NPI number for Kelly O'sullivan is 1386414332. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Q: What is Kelly O'sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly O'sullivan was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 02, 2024

12-00 1ST ST, FAIR LAWN, NJ 07410(201) 794-5470 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly O'sullivan Lpc NPPES

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

KELLY O'SULLIVAN LPC (NPI 1386414332) is an individual mental health provider in Fair Lawn, New Jersey, licensed in New Jersey (37PC00674500) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1386414332

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY O'SULLIVANCredential: LPC

Location Address12-00 1ST STFair Lawn, NJ 07410-1155

Mailing Address121 Chanlon RdNew Providence, NJ 07974-1543 · (973) 299-9954

Phone(201) 794-5470

Sole ProprietorNo

Enumeration DateJanuary 2, 2024

NPPES CertifiedJanuary 2, 2024

✔ NPI 1386414332 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 NJ · 37PC00674500

12-00 1ST ST, Fair Lawn, NJ 07410

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINE GALASSO

Counselor (Mental Health)

12-00 1ST ST
FAIR LAWN, NJ 07410

Bergen County (201) 794-5470

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 O'sullivan's NPI number?

The NPI number for Kelly O'sullivan is 1386414332. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Kelly O'sullivan located?

Kelly O'sullivan practices at 12-00 1st St, Fair Lawn, NJ 07410. The listed phone number is (201) 794-5470.

What is Kelly O'sullivan'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 O'sullivan was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.