MRS. KELLY MEDVIN LPC, NCC
NPI 1598270571
Counselor - Mental Health in Green Village, NJ

Active since December 12, 2017
268 GREEN VILLAGE RD, GREEN VILLAGE, NJ 07935(917) 922-1693 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Kelly Medvin Lpc, Ncc NPPES

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

MRS. KELLY MEDVIN LPC, NCC (NPI 1598270571) is an individual mental health provider in Green Village, New Jersey, licensed in New Jersey (37PC00585800) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1598270571
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY MEDVINCredential: LPC, NCC
Location Address268 GREEN VILLAGE RDGreen Village, NJ 07935-3027
Mailing Address425 Fairmount AveChatham, NJ 07928-1369 · (973) 655-0220 · Fax (973) 655-0220
Sole ProprietorYes
Enumeration DateDecember 12, 2017
NPI 1598270571 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 · 37PC00585800
268 GREEN VILLAGE RD, Green Village, NJ 07935

Other Providers at the Same Location NPPES 13

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

Social Worker
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Eyewear Supplier
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Social Worker (Clinical)
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Optometrist
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Counselor (Professional)
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Counselor (Mental Health)
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Psychologist
268 GREEN VILLAGE RD
GREEN VILLAGE, NJ 07935
Social Worker (Clinical)
268 GREEN VILLAGE RD, 2ND FLOOR SUITE
GREEN VILLAGE, NJ 07935

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 Medvin's NPI number?

The NPI number for Kelly Medvin is 1598270571. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Kelly Medvin located?

Kelly Medvin practices at 268 Green Village Rd, Green Village, NJ 07935. The listed phone number is (917) 922-1693.

What is Kelly Medvin'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 Medvin was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.