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Michael Kelly
NPI 1861209405 · Mental Health Counselor · Watertown, NY
Michael Kelly is a Mental Health Counselor provider in Watertown, NY (NPI 1861209405).
Provider details
- NPI number
- 1861209405
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
211 Jb Wise Pl
Watertown, NY 13601-2507
Phone: (315) 782-7445
Street-level locationGet directions
Mailing address
1704 State St
Watertown, NY 13601-3102
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Michael Kelly's NPI number?
- Michael Kelly's National Provider Identifier (NPI) is 1861209405, 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 211 Jb Wise Pl, Watertown, NY 13601-2507.
- What is Michael Kelly's phone number?
- The practice phone number listed in the NPPES registry for Michael Kelly is (315) 782-7445.
- Is Michael Kelly's NPI active?
- Yes — Michael Kelly's NPI (1861209405) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.