IndividualActive
Michael Kelly, LCSW
NPI 1639233547 · Mental Health Counselor · Randolph, NJ
Michael Kelly, LCSW is a Mental Health Counselor provider in Randolph, NJ (NPI 1639233547).
Provider details
- NPI number
- 1639233547
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 44SC04703100 (NJ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
37 Ridgewood Dr
Randolph, NJ 07869-3751
Phone: (973) 989-7750
Street-level locationGet directions
Mailing address
37 Ridgewood Dr
Randolph, NJ 07869-3751
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Kelly's NPI number?
- Michael Kelly's National Provider Identifier (NPI) is 1639233547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Kelly's specialty?
- Michael Kelly is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Michael Kelly located?
- Michael Kelly's practice location on file with NPPES is 37 Ridgewood Dr, Randolph, NJ 07869-3751.
- What is Michael Kelly's phone number?
- The practice phone number listed in the NPPES registry for Michael Kelly is (973) 989-7750.
- Is Michael Kelly's NPI active?
- Yes — Michael Kelly's NPI (1639233547) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.