Individual provider · Type 1 NPI

Susan E. Kelly, PhD, LMHC

Counselor · Cedar Rapids, IA

NPI number 1003877895 Active

Practice location

5264 Council St NE, Ste 400
Cedar Rapids, IA 52402-2471

Fax (319) 369-4673

Mailing address

PO Box 1824
Cedar Rapids, IA 52406-1824

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X00408 (IA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003877895

Susan E. Kelly, PhD, LMHC's National Provider Identifier is 1003877895, issued on Mar 31, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jul 13, 2026.