KELLY KETCHAM MA, LAC
NPI 1952171175
Counselor - Mental Health in Point Pleasant Beach, NJ

Q: What is Kelly Ketcham's NPI number?

The NPI number for Kelly Ketcham is 1952171175. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Kelly Ketcham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ketcham was last updated on January 8, 2024. 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.

Active since January 08, 2024

516 BAY AVE STE 3, POINT PLEASANT BEACH, NJ 08742(848) 235-9290 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Kelly Ketcham Ma, Lac NPPES

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

KELLY KETCHAM MA, LAC (NPI 1952171175) is an individual mental health provider in Point Pleasant Beach, New Jersey, licensed in New Jersey (37AC00761700) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1952171175

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY KETCHAMCredential: MA, LAC

Location Address516 BAY AVE STE 3Point Pleasant Beach, NJ 08742-2554

Mailing Address21 Chestnut StBeachwood, NJ 08722-4535 · (732) 600-4362

Phone(848) 235-9290

Sole ProprietorNo

Enumeration DateJanuary 8, 2024

NPPES CertifiedJanuary 8, 2024

✔ NPI 1952171175 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 · 37AC00761700

516 BAY AVE STE 3, Point Pleasant Beach, NJ 08742

Open in Google Maps ↗

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 Ketcham's NPI number?

The NPI number for Kelly Ketcham is 1952171175. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Kelly Ketcham located?

Kelly Ketcham practices at 516 Bay Ave Ste 3, Point Pleasant Beach, NJ 08742. The listed phone number is (848) 235-9290.

What is Kelly Ketcham'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 Ketcham was last updated on January 8, 2024. 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.