KELLY ANN RAFTER-KWORTNIK LPC
NPI 1962031773
Counselor - Professional in Bayville, NJ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since April 03, 2020PECOS Enrolled

160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721(732) 349-5550 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 16, 2021, Apr 3, 2020 (2 updates tracked since 2020).

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About Kelly Ann Rafter-kwortnik Lpc NPPES

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

KELLY ANN RAFTER-KWORTNIK LPC (NPI 1962031773) is an individual professional provider in Bayville, New Jersey, licensed in New Jersey (37AC00338300) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962031773

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLY ANN RAFTER-KWORTNIKCredential: LPC

Location Address160 ATLANTIC CITY BLVDBayville, NJ 08721-1229

Mailing Address1173 Laurel DrToms River, NJ 08753-3173 · (732) 557-7104

Phone(732) 349-5550

Sole ProprietorYes

Enumeration DateApril 3, 2020

Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration

NPPES CertifiedDecember 16, 2021

✔ NPI 1962031773 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 · 37AC00338300

160 ATLANTIC CITY BLVD, Bayville, NJ 08721

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ann Rafter-kwortnik Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.