Provider Demographics
NPI:1316711005
Name:MCGINITY, KELSIE JEAN (LMHC)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:JEAN
Last Name:MCGINITY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 HAZELTON ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6313
Mailing Address - Country:US
Mailing Address - Phone:401-787-3936
Mailing Address - Fax:
Practice Address - Street 1:94 HAZELTON ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6313
Practice Address - Country:US
Practice Address - Phone:401-787-3936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health