MRS. KELLY ANN PASSANISI LPC, LCADC, NCC - NPI 1861907982

Q: What is Kelly Passanisi's NPI number?

The NPI number for Kelly Passanisi is 1861907982. It was assigned to this individual provider in the NPPES registry on December 12, 2017. The provider is also known as Kelly Gaffney.

Q: What is Kelly Passanisi's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Passanisi was last updated on September 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Kelly Ann Passanisi Lpc, Lcadc, Ncc NPPES

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

MRS. KELLY ANN PASSANISI LPC, LCADC, NCC (NPI 1861907982) is an individual counselor in Hazlet, New Jersey, licensed in New Jersey (37PC00599400) and active in the NPI registry since December 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861907982

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. KELLY ANN PASSANISICredential: LPC, LCADC, NCC

Location Address1 BETHANY RD STE 69Hazlet, NJ 07730-1668

Mailing Address20 Brook StRed Bank, NJ 07701-5802 · (732) 600-0342

Phone(732) 600-0342

Sole ProprietorNo

Enumeration DateDecember 12, 2017

Last NPPES UpdateSeptember 18, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1861907982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NJ · 37PC00599400

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00272900 (NJ)

1 BETHANY RD STE 69, Hazlet, NJ 07730

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Other Names 1

Former Name (1)Kelly Gaffney

Secondary Practice Locations 2

Location 1114 S 2nd StPhillipsburg, NJ 08865-1806 · Phone (908) 329-2144

Location 2220 Jack Martin BlvdBrick, NJ 08724-7772 · Phone (732) 920-3434

Other Providers at the Same Location NPPES 10

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

AMANDA LONNAY LPC, LCADC

Counselor (Professional)