MRS. KELLY BEAUDRY KLASTAVA (NPI# 1952662520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952662520 |
| Entity Type | Individual |
| Full Name | MRS. KELLY BEAUDRY KLASTAVA |
| Credential | LCSW-C |
| Practice Address |
135 N Parke St Aberdeen MD 21001-2428 |
| Mailing Address |
15 Arlen Rd Apartment I Nottingham MD 21236-5165 |
| Practice Telephone | 4436251600 |
| Mailing Telephone | 7324560829 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 16610 | MD | Agencies |
| Street Address |
135 N PARKE ST |
| City | ABERDEEN |
| State | MD |
| Zip Code | 21001-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225071061 | Karl D Weber | Counselor | 135 N Parke St, Aberdeen, MD 21001-2428 | 2006-06-13 |
| 1942816772 | Elizabeth Pearl Rice | Counselor | 135 N Parke St, Aberdeen, MD 21001-2428 | 2020-09-17 |
| 1043825003 | Rebecca Falter | Counselor | 135 N Parke St, Aberdeen, MD 21001-2428 | 2020-09-15 |
| 1295348928 | Caitlin Devinney | Counselor | 135 N Parke St, Aberdeen, MD 21001-2428 | 2020-08-24 |
| 1275183576 | Michelle Anne Lehew | Social Worker | 135 N Parke St, Aberdeen, MD 21001-2428 | 2019-09-18 |
| 1558910471 | Kathryn Elizabeth Filipov | Counselor | 135 N Parke St, Aberdeen, MD 21001-2428 | 2019-09-04 |
| 1104474063 | Bianca Desiree Minor | Counselor | 135 N Parke St, Aberdeen, MD 21001-2428 | 2019-09-03 |
| 1871149955 | Amanda Katherine Harris | Social Worker | 135 N Parke St, Aberdeen, MD 21001-2428 | 2019-08-14 |
| 1174175368 | Rachel Metzger | Social Worker | 135 N Parke St, Aberdeen, MD 21001-2428 | 2019-07-09 |
| 1275192700 | Erica Mackenzie Ardinger | Social Worker | 135 N Parke St, Aberdeen, MD 21001-2428 | 2019-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269197 | Alphonsa Abdul Rahman | Clinical Nurse Specialist | 1386 Tralee Cir, Aberdeen, MD 21001 | 2020-09-09 |
| 1861983207 | Chelsea Mann | Counselor | 1013 Beards Hill Road, Suite 101 Pmb191, Aberdeen, MD 21001 | 2018-05-22 |
| 1558876227 | Lauren Neubauer | Behavioral Analyst | 4513 Philadelphia Rd, Aberdeen, MD 21001 | 2017-12-04 |
| 1811407398 | Trisha Abbey | Social Worker | 1326 Tralee Circle, None, Aberdeen, MARYLAND 21001 | 2017-10-10 |
| 1073914487 | Sm Health, LLC | Registered Nurse | 780 W Bel Air Ave Ste C, Aberdeen, MD 21001 | 2014-09-05 |
| 1073932752 | Ars of Aberdeen LLC | Clinic/Center | 24-26 West Bel Air Ave, Aberdeen, MD 21001 | 2014-04-10 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1669721098 | Brenda Lynn Merrill | Counselor | 135 N. Parke Street, Aberdeen, MD 21001 | 2012-08-30 |
| 1316237092 | Rose Mary Hatem Bonsack | Family Medicine | 205 Hemlock La., Aberdeen, MD 21001 | 2011-04-14 |
| 1265754253 | Cynthia Sprague | Counselor | 1403 Pannell Dr Apt H, Aberdeen, MD 21001 | 2010-02-18 |
| Find all providers in zip 21001 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292900 | Wisdom Health Care Services | Community/Behavioral Health | 136 S Philadelphia Blvd Ste D, Aberdeen, MD 21001-3203 | 2019-12-16 |
| 1518438050 | Ymca of Greater Monmouth County | Community/Behavioral Health | 401 Lloyd Rd, Aberdeen, NJ 07747-1894 | 2018-12-10 |
| 1952872491 | Ymca of Greater Monmouth County | Community/Behavioral Health | 282 Church St, Aberdeen, NJ 07747-1520 | 2018-12-10 |
| 1144723057 | Bsocial | Community/Behavioral Health | 80 Bradford Ct, Aberdeen, NJ 07747-1859 | 2018-03-16 |
| 1528453263 | Light House Professional Counseling | Community/Behavioral Health | 1315 N Sandhills Blvd, Aberdeen, NC 28315-2211 | 2015-03-31 |
| 1154715712 | Mk Behavioral Services | Community/Behavioral Health | 6711 Olympic Hwy, Aberdeen, WA 98520-5722 | 2015-03-22 |
| 1669810651 | Monarch | Community/Behavioral Health | 715 E South St, Aberdeen, NC 28315-3400 | 2013-06-12 |
| 1952643421 | Advocate Health Services,llc | Community/Behavioral Health | 37 North Philadelphia Blvd, Aberdeen, MD 21001 | 2013-03-22 |
| 1124380472 | Community Helps Network Aberdeen | Community/Behavioral Health | 1319 N Sandhills Blvd, Aberdeen, NC 28315-2211 | 2012-06-12 |
| 1124396932 | Catholic Community Services of Western Washington | Community/Behavioral Health | 224 E Wishkah St, Aberdeen, WA 98520-6513 | 2011-12-07 |
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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.