KELLY BEARER
NPI 1639039654
Counselor - Mental Health in Plymouth, MA
Active since November 12, 2025
About Kelly Bearer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY BEARER (NPI 1639039654) is an individual mental health provider in Plymouth, Massachusetts, licensed in Colorado (LPC.0022155) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1639039654
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY BEARER
Location Address30 LORING BLVD APT 305Plymouth, MA 02360-7361
Mailing Address30 Loring Blvd Apt 305Plymouth, MA 02360-7361 · (303) 870-8058
Phone(303) 870-8058
Sole ProprietorYes
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1639039654 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 CO · LPC.0022155
30 LORING BLVD APT 305, Plymouth, MA 02360
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639039654, enumerated as an "individual" on November 12, 2025.
The provider is located at 30 LORING BLVD APT 305 PLYMOUTH, MA 02360 and the phone number is (303) 870-8058.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
