Healthcare Provider Details

I. General information

NPI: 1790665867
Provider Name (Legal Business Name): KELSEY MUNSTER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 10TH ST APT 315
JERSEY CITY NJ
07302-1334
US

IV. Provider business mailing address

270 10TH ST APT 315
JERSEY CITY NJ
07302-1334
US

V. Phone/Fax

Practice location:
  • Phone: 201-528-3774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01266100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019247
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: