KELLY O'DONNELL (NPI# 1215388822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215388822 |
| Entity Type | Individual |
| Full Name | KELLY O'DONNELL |
| Credential | MS |
| Practice Address |
42 Delsea Dr S Glassboro NJ 08028-2621 |
| Practice Telephone | 8568818689 |
| Mailing Telephone | 8568818689 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316251689 | Kelly N O'donnell | Speech-Language Pathologist | 5831 S. Rutherford Ave., Chicago, IL 60638 | 2010-07-29 |
| 1508495912 | Kelly O'donnell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-04-07 |
| 1114551397 | Kelly O'donnell | Licensed Practical Nurse | 1 Mount Mckinley Ave, Farmingville, NY 11738-2107 | 2020-02-27 |
| 1790249464 | Kelly Marie O'donnell | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2019-01-28 |
| 1689156143 | Kelly O'donnell | Social Worker | 25 Railroad Sq, Haverhill, MA 01832-5721 | 2018-08-31 |
| 1487101242 | Kelly O'donnell | Specialist/Technologist | 1441 Schoenersville Rd, Bethlehem, PA 18018-1864 | 2016-09-08 |
| 1174999635 | Kelly O'donnell | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2015-08-18 |
| 1831317759 | Kelly Kay O'donnell | Occupational Therapist | 1201 Park St, Bellevue, IA 52031-1911 | 2007-04-23 |
| 1619997772 | Kelly O'donnell | Anesthesiology | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-8919 | 2006-07-20 |
| Street Address |
42 DELSEA DR S |
| City | GLASSBORO |
| State | NJ |
| Zip Code | 08028-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689722050 | Pamela Mae Nielsen | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2007-01-08 |
| 1245878354 | Johnnie Lynn Taylor IIi | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-19 |
| 1316585896 | Stephanie Bonner | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-16 |
| 1871131268 | Nicole Shute | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-16 |
| 1437794419 | Kelley Anne Adelsberger | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-13 |
| 1962046565 | Jaclyn Paige Wasiluk | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-06 |
| 1962046433 | Marquetta S Surratt | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-10-29 |
| 1083264261 | Jennifer Bayne | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-09-19 |
| 1376104356 | Stefani Lauren Pelly | Social Worker | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-06-21 |
| 1437716206 | Tara-jean Marie Mcdonough | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320581 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1328 East Boulevard, Glassboro, NJ 08028 | 2019-01-24 |
| 1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
| 1639641210 | Seth Frost | Counselor | 2 Delsea Dr S., Glassboro, NJ 08028 | 2018-12-20 |
| 1083195788 | Strong Tower Social Services, Inc | Clinic/Center | 341 Fish Pond Road, Glassboro, NJ 08028 | 2018-08-22 |
| 1023506730 | Tri-county Support Coordination LLC | Case Management | 275 E High St, Ste S364, Glassboro, NJ 08028 | 2018-04-27 |
| 1558872721 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Reading Street, Apt. #2, Glassboro, NJ 08028 | 2017-10-16 |
| 1073023545 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 960 North Main Street, Glassboro, NJ 08028 | 2017-10-10 |
| 1366978645 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 Aura Rd, Glassboro, NJ 08028 | 2017-05-05 |
| 1831623594 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Potsdam Court, Glassboro, NJ 08028 | 2017-04-19 |
| 1003340761 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Stoneham Drive, Glassboro, NJ 08028 | 2017-04-19 |
| Find all providers in zip 08028 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621430 | Christine Hopkins | Counselor | 317 New St E, Glassboro, NJ 08028-2023 | 2020-08-25 |
| 1720463946 | Kelly Deegan | Counselor | 42 S. Delsea Dr, Glassboro, NJ 08081-2621 | 2015-07-29 |
| 1134435134 | Sheri Lynn Colston | Counselor | 200 Evergreen Pkwy, Glassboro, NJ 08028-3254 | 2010-08-27 |
| 1932428240 | Rita Diventi | Counselor | 42 S. Delsea Drive, Glassboro, NJ 08028-2621 | 2010-05-26 |
| 1073747507 | Daniel Kennedy | Counselor | 65 Meadows Dr, Glassboro, NJ 08028-2424 | 2009-05-12 |
| 1700981669 | Michael Considine | Counselor | 42 South Delsea Drive, Glassboro, NJ 08028 | 2006-09-14 |
| 1245878354 | Johnnie Lynn Taylor IIi | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-19 |
| 1316585896 | Stephanie Bonner | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-16 |
| 1871131268 | Nicole Shute | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-12-16 |
| 1437794419 | Kelley Anne Adelsberger | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2019-11-13 |
| Find all providers in GLASSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.