KIMBERLY KELLEHER
NPI 1629687306
Counselor - Professional in Catonsville, MD

Active since July 28, 2020
9 NEWBURG AVE STE 102, CATONSVILLE, MD 21228(443) 840-7862 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Jul 28, 2020 (2 updates tracked since 2020).

About Kimberly Kelleher NPPES

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

KIMBERLY KELLEHER (NPI 1629687306) is an individual professional provider in Catonsville, Maryland, licensed in Maryland (LC14859) and active in the NPI registry since July 2020. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1629687306
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY KELLEHER
Location Address9 NEWBURG AVE STE 102Catonsville, MD 21228-5157
Mailing AddressPo Box 38535Baltimore, MD 21231-8535
Sole ProprietorNo
Enumeration DateJuly 28, 2020
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1629687306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in MD · LC14859 Licensed in CA · 15654
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
9 NEWBURG AVE STE 102, Catonsville, MD 21228

Secondary Practice Location 1

Location 13655 Nobel Dr Ste 400San Diego, CA 92122-1005 · Phone (858) 750-7379

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
9 NEWBURG AVE STE 102
CATONSVILLE, MD 21228
Clinic/Center (Adult Mental Health)
9 NEWBURG AVE STE 102
CATONSVILLE, MD 21228

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 Kimberly Kelleher's NPI number?

The NPI number for Kimberly Kelleher is 1629687306. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Kimberly Kelleher located?

Kimberly Kelleher practices at 9 Newburg Ave Ste 102, Catonsville, MD 21228. The listed phone number is (443) 840-7862.

What is Kimberly Kelleher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kimberly Kelleher was last updated on June 12, 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.