MRS. KELLY KENNEDY
NPI 1003474784
Counselor - Addiction (Substance Use Disorder) in Santa Paula, CA

Q: What is Kelly Kennedy's NPI number?

The NPI number for Kelly Kennedy is 1003474784. It was assigned to this individual provider in the NPPES registry on May 29, 2019. The provider is also known as Mrs. Kelly Kennedy.

Q: What is Kelly Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kennedy was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2019

720 W SANTA MARIA ST SPC 77, SANTA PAULA, CA 93060(805) 850-8632 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, May 5, 2025, Jun 20, 2024 and 1 more (4 updates tracked since 2019).

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About Mrs. Kelly Kennedy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY KENNEDY (NPI 1003474784) is an individual addiction (substance use disorder) provider in Santa Paula, California and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1003474784

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. KELLY KENNEDY

Location Address720 W SANTA MARIA ST SPC 77Santa Paula, CA 93060-4577

Mailing Address720 W Santa Maria St Spc 77Santa Paula, CA 93060-4577 · (805) 850-8632 · Fax (805) 566-0298

Phone(805) 850-8632

Sole ProprietorYes

Enumeration DateMay 29, 2019

Last NPPES UpdateSeptember 25, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2025

✔ NPI 1003474784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

720 W SANTA MARIA ST SPC 77, Santa Paula, CA 93060

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Other Names 1

Professional Name (2)Mrs. Kelly Kennedy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kennedy's NPI number?

The NPI number for Kelly Kennedy is 1003474784. It was assigned to this individual provider in the NPPES registry on May 29, 2019. The provider is also known as Mrs. Kelly Kennedy.

Where is Kelly Kennedy located?

Kelly Kennedy practices at 720 W Santa Maria St Spc 77, Santa Paula, CA 93060. The listed phone number is (805) 850-8632.

What is Kelly Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Kennedy was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.