Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Koller, MHC-LP

Individual provider Mental Health Counselor · NPI 1669065504

Kathleen Koller, MHC-LP is a Mental Health Counselor in Staten Island, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

135 Corson Ave
Staten Island, NY 10301-2933
Phone: (917) 385-7929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P107677 (NY)

Record details

NPI number1669065504
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorNo
NPI enumeratedFebruary 11, 2021
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

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