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

Kelly A Thompson, LICENSEDMENTALHEAL

Individual provider Mental Health Counselor · NPI 1114449709

Kelly A Thompson, LICENSEDMENTALHEAL is a Mental Health Counselor in Orchard Park, New York. Qualified in 2001, 25 years ago. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

5800 Big Tree Rd
Orchard Park, NY 14127
Phone: (716) 662-7337
Fax: (716) 662-0641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 004737-1 (NY)

Record details

NPI number1114449709
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDMENTALHEAL
Sole proprietorNo
NPI enumeratedJuly 14, 2017
Last updated in NPPESJuly 14, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Orchard Park