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

Michael Kelly

Individual provider Mental Health Counselor · NPI 1861209405

Michael Kelly is a Mental Health Counselor in Watertown, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

211 Jb Wise Pl
Watertown, NY 13601-2507
Phone: (315) 782-7445
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1861209405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address1704 State St, Watertown, NY 13601-3102

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