Kelly Ann Perez, PMHNP
Kelly Ann Perez, PMHNP is a Nurse Practitioner in Fanwood, New Jersey. Qualified in 2024, 2 years ago. Practices with Tree of Life Counseling Center, LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 2
- Licensed in
- NJ
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PMHNP — Psychiatric-Mental Health Nurse Practitioner
- A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
Practice location Address checks out
193 Terrill RdFanwood, NJ 07023-1055
Phone: (908) 258-9524
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 26NJ15092100 (NJ) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 26NR11463600 (NJ) |
Record details
| NPI number | 1528802220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP |
| Sole proprietor | Yes |
| NPI enumerated | June 19, 2024 |
| Last updated in NPPES | June 19, 2025 |
| Certification date | June 19, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Tree Of Life Counseling Center, Llc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 55 |
| Average patient age | 70 |
Payments from drug and device companies, 2025
| Food and Beverage | $603 |
|---|
Colleagues at Tree of Life Counseling Center, LLC
- Donna Marie Bamond Professional Counselor · Freehold, NJ
- Dr. Stephanie Dizenzo-Priestley, PHD, LPC Mental Health Counselor · Freehold, NJ
- Colleen Evans, LCSW Clinical Social Worker · Freehold, NJ
- Catherine Hall, LCSW Clinical Social Worker · Princeton, NJ
- Laura Hrycyk, LPC Professional Counselor · Freehold, NJ
- Maria Kodopidis School Counselor · Eatontown, NJ
- Lisa M Miller-Samber, LPC Professional Counselor · Bayville, NJ
- Jimmy Passe, LPC Addiction (Substance Use Disorder) Counselor · Freehold, NJ
- Alyson Resnick, MA, LMHC, LPC, ACS Professional Counselor · Freehold, NJ