Mia Tanya Stula Kellam, LAC
NPI 1417114240 · Mental Health Counselor · Bound Brook, NJ
Mia Tanya Stula Kellam, LAC is a Mental Health Counselor provider in Bound Brook, NJ (NPI 1417114240).
Provider details
- NPI number
- 1417114240
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- 37AC00041700 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-20
- Last updated
- 2008-05-20
Frequently asked questions
- What is Mia Tanya Stula Kellam's NPI number?
- Mia Tanya Stula Kellam's National Provider Identifier (NPI) is 1417114240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mia Tanya Stula Kellam's specialty?
- Mia Tanya Stula Kellam is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Mia Tanya Stula Kellam located?
- Mia Tanya Stula Kellam's practice location on file with NPPES is 339 W 2nd St, Bound Brook, NJ 08805-1833.
- What is Mia Tanya Stula Kellam's phone number?
- The practice phone number listed in the NPPES registry for Mia Tanya Stula Kellam is (732) 356-1082.
- Is Mia Tanya Stula Kellam's NPI active?
- Yes — Mia Tanya Stula Kellam's NPI (1417114240) is active in the NPPES registry as of the last update on 2008-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.