MS. KELLY ANNE DAVIS MA, LAC
NPI 1942086814
Counselor - Mental Health in Matawan, NJ

Active since September 06, 2023
166 MAIN ST, MATAWAN, NJ 07747(732) 290-9040 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly Anne Davis Ma, Lac NPPES

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

MS. KELLY ANNE DAVIS MA, LAC (NPI 1942086814) is an individual mental health provider in Matawan, New Jersey, licensed in New Jersey (37AC00731000) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1942086814
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KELLY ANNE DAVISCredential: MA, LAC
Location Address166 MAIN STMatawan, NJ 07747-3104
Mailing Address166 Main StMatawan, NJ 07747-3104 · (732) 290-9040
Sole ProprietorNo
Enumeration DateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1942086814 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 NJ · 37AC00731000
166 MAIN ST, Matawan, NJ 07747

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
166 MAIN ST
MATAWAN, NJ 07747
Social Worker
166 MAIN ST
MATAWAN, NJ 07747
Social Worker
166 MAIN ST
MATAWAN, NJ 07747
Social Worker
166 MAIN ST
MATAWAN, NJ 07747
Student in an Organized Health Care Education/Training Program
166 MAIN ST
MATAWAN, NJ 07747
Counselor (Mental Health)
166 MAIN ST
MATAWAN, NJ 07747
Counselor (Addiction (Substance Use Disorder))
166 MAIN ST
MATAWAN, NJ 07747
Counselor
166 MAIN ST
MATAWAN, NJ 07747

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 Kelly Davis's NPI number?

The NPI number for Kelly Davis is 1942086814. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Kelly Davis located?

Kelly Davis practices at 166 Main St, Matawan, NJ 07747. The listed phone number is (732) 290-9040.

What is Kelly Davis'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 Kelly Davis was last updated on September 6, 2023. 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.