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

Kelly Ann Waller, LMHC

Individual provider Mental Health Counselor · NPI 1972269652

Kelly Ann Waller, LMHC is a Mental Health Counselor in Massapequa, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

54 Chicago Ave
Massapequa, NY 11758-4422
Phone: (516) 804-0448
Show map & directions

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

Additional practice locations (1)

  • 400 Sunrise Hwy, Amityville, NY 11701-2508 — (631) 264-4000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 011709 (NY)

Record details

NPI number1972269652
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorYes
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021

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