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MARY HELEN KELLAM
NPI 1891189825
Counselor - Professional in Sparta, NJ

Active since March 27, 2015Opted out of Medicare · through Mar 9, 2027
17 WOODPORT RD, SUITE 2D, SPARTA, NJ 07871(201) 317-4539 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Helen Kellam NPPES

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

MARY HELEN KELLAM (NPI 1891189825) is an individual professional provider in Sparta, New Jersey, licensed in New Jersey (37PC00514800) and active in the NPI registry since March 2015. She has opted out of Medicare through March 9, 2027.

NPPES Registry Identity

NPI1891189825
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY HELEN KELLAM
Location Address17 WOODPORT RD, SUITE 2DSparta, NJ 07871-2412
Mailing Address17 Woodport Rd, Suite 2dSparta, NJ 07871-2412 · (201) 317-4539
Phone(201) 317-4539
Sole ProprietorNo
Enumeration DateMarch 27, 2015
Last NPPES UpdateMay 28, 2015
✔ NPI 1891189825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00514800
17 WOODPORT RD, Sparta, NJ 07871
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Helen Kellam has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 9, 2025 through March 9, 2027.

Opt-Out Effective DateMarch 9, 2025
Opt-Out In Effect ThroughMarch 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

SHARON E JORDAN FELDMAN M.S.W.
Social Worker (Clinical)
17 WOODPORT RD, SUITE 2C
SPARTA, NJ 07871
Sussex County (973) 786-5913
OLIVIA MEYER
Social Worker
17 WOODPORT RD
SPARTA, NJ 07871
Sussex County (973) 222-3030
SPARTA CHIROPRACTIC AND WELLNESS CENTER, LLC
Chiropractor
17 WOODPORT RD, SUITE 1D
SPARTA, NJ 07871
Sussex County (973) 726-9041
ERIC LOEWRIGKEIT D.C.
Chiropractor
17 WOODPORT RD, STE. 1D
SPARTA, NJ 07871
Sussex County (973) 726-9041

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 Mary Helen Kellam's NPI number?

The NPI number for Mary Helen Kellam is 1891189825. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Mary Helen Kellam located?

Mary Helen Kellam practices at 17 Woodport Rd Suite 2D, Sparta, NJ 07871. The listed phone number is (201) 317-4539.

What is Mary Helen Kellam's specialty?

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

Is Mary Helen Kellam enrolled in Medicare?

No. Mary Helen Kellam has opted out of Medicare through March 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Helen Kellam was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.