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KATHLEEN KOLLER MHC-LP
NPI 1669065504
Counselor - Mental Health in Staten Island, NY

Active since February 11, 2021
135 CORSON AVE, STATEN ISLAND, NY 10301(917) 385-7929 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Koller Mhc-lp NPPES

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

KATHLEEN KOLLER MHC-LP (NPI 1669065504) is an individual mental health provider in Staten Island, New York, licensed in New York (P107677) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1669065504
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN KOLLERCredential: MHC-LP
Location Address135 CORSON AVEStaten Island, NY 10301-2933
Mailing AddressPo Box 1563New York, NY 10159-1563 · (917) 355-7929
Phone(917) 385-7929
Sole ProprietorNo
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1669065504 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 NY · P107677
135 CORSON AVE, Staten Island, NY 10301
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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.

NICOLE LYNETTE FENTON
Case Manager/Care Coordinator
135 CORSON AVE
STATEN ISLAND, NY 10301
Richmond County (718) 450-4727

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 Kathleen Koller's NPI number?

The NPI number for Kathleen Koller is 1669065504. It was assigned to this individual provider in the NPPES registry on February 11, 2021.

Where is Kathleen Koller located?

Kathleen Koller practices at 135 Corson Ave, Staten Island, NY 10301. The listed phone number is (917) 385-7929.

What is Kathleen Koller'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 Kathleen Koller was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.