Kellyanne Richmond, MA, LPC, LCADC in Iselin, NJ

Kellyanne Richmond, MA, LPC, LCADC is a medicare enrolled "Counselor - Mental Health" provider in Iselin, New Jersey. Her current practice location is 200 Middlesex Tpke Ste 102, Iselin, New Jersey. You can reach out to her office (for appointments etc.) via phone at (862) 266-5758.

Kellyanne Richmond is licensed to practice in New Jersey (license number 37PC00743100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164952867.

Contact Information

	Kellyanne Richmond, MA, LPC, LCADC
	200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033
	(862) 266-5758
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellyanne Richmond
Gender	Female
Speciality	Counselor - Mental Health
Location	200 Middlesex Tpke Ste 102, Iselin, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164952867
Provider Enumeration Date: 06/14/2017
Last Update Date: 12/17/2024

Medicare PECOS Information:

PECOS PAC ID: 2062943764
Enrollment ID: I20241005000109

Medical Identifiers

Medical identifiers for Kellyanne Richmond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164952867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	37LC0224600 (New Jersey)	Secondary
101YM0800X	Counselor - Mental Health	068.0136330 (Vermont)	Secondary
101YP2500X	Counselor - Professional	LPC.0021628 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	37PC00743100 (New Jersey)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kellyanne Richmond allows following entities to bill medicare on her behalf.

Entity Name	Valera Medical, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306435060 PECOS PAC ID: 6709272008 Enrollment ID: O20220414000699

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellyanne Richmond is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kellyanne Richmond, MA, LPC, LCADC 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 Ph: () -	Kellyanne Richmond, MA, LPC, LCADC 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 Ph: (862) 266-5758

Reviews and Comments

Counselor in Iselin, NJ

Rachel Nyaanga, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Rivington St, Iselin, NJ 08830 Phone: 732-439-2306
Nicole York, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Middlesex Tpke Ste 102, Iselin, NJ 08830 Phone: 732-655-6339
Brian Thomas Hemmert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 485 Route 1 S, Bldg C Suite 130, Iselin, NJ 08830 Phone: 732-634-2811
Mrs. Damyanti Aurora, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Wood Ave S, 4th Floor, Iselin, NJ 08830 Phone: 732-536-0076 Fax: 732-972-8846
Mrs. Deanna P. Gitlow, LICENSED COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 33 Wood Ave S, 6th Floor, Iselin, NJ 08830 Phone: 732-536-0076 Fax: 732-972-8846
Tannia Carolina Dominguez, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Bradford Pl, Iselin, NJ 08830 Phone: 908-930-8617

Kellyanne Richmond, MA, LPC, LCADC - Medicare Counselor in Iselin, NJ