Timothy Kelly, LPC
Timothy Kelly, LPC is a Pastoral Counselor in Philadelphia, PA, registered under NPI 1558467811. This provider registers 6 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3900 WOODLAND AVE, Philadelphia, PA 19104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PC001954 | PA | Pastoral Counselor primary |
| PC001954 | PA | Counselor |
| PC001954 | PA | Addiction (Substance Use Disorder)… |
| PC001954 | PA | Mental Health Counselor |
| PC001954 | PA | Professional Counselor |
| 01360 | OK | Psychologist |
Licences are recorded in 2 states: PA, OK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Oklahoma and Pennsylvania. The practice address on file is in Philadelphia, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- PC001954
- Specialty
- Pastoral Counselor
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pastoral covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP1600X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YP1600X | Pastoral Counselor Pastoral | PC001954 | PA | primary |
| 101Y00000X | Counselor | PC001954 | PA | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | PC001954 | PA | |
| 101YM0800X | Mental Health Counselor Mental Health | PC001954 | PA | |
| 101YP2500X | Professional Counselor Professional | PC001954 | PA | |
| 103T00000X | Psychologist | 01360 | OK |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1558467811 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Sep 15, 2006 |
| Last updated | Feb 28, 2008 |
| Status | Active |
| Sole proprietor | No |
| Credential | LPC |
| Practice address |
3900 WOODLAND AVE Philadelphia, PA 19104 (215) 823-5800 Fax (215) 823-5919 |
| Mailing address |
2340 HIGH RD Huntingdon Valley, PA 19006 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 5 | 8 | 4 | 6 | 7 | 8 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 1 | 8 | 8 | 6 | 5 | 8 | 2 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.