MEDICARE: ANI KILEDJIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1891648903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANI KILEDJIAN

Provider Business Mailing Address
First Line	:	57 SCENERY LN
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-7505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1082 DAVOL ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-1124
Country	:	US
Telephone Number	:	508-678-2833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ ANI KILEDJIAN ” Practice Location

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