MS. JENNIFER DANELLE KELLEY MA
NPI 1104975101
Counselor - Addiction (Substance Use Disorder) in Everett, WA

Q: What is Jennifer Kelley's NPI number?

The NPI number for Jennifer Kelley is 1104975101. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is Jennifer Kelley'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 Jennifer Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 January 09, 2007

1114 PACIFIC AVE, 3RD FLOOR, EVERETT, WA 98201(425) 258-5277(425) 258-5275 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Jennifer Danelle Kelley Ma NPPES

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

MS. JENNIFER DANELLE KELLEY MA (NPI 1104975101) is an individual addiction (substance use disorder) provider in Everett, Washington, licensed in Washington (CP00006033) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104975101

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. JENNIFER DANELLE KELLEYCredential: MA

Location Address1114 PACIFIC AVE, 3RD FLOOREverett, WA 98201-4231

Mailing Address1114 Pacific Ave, 3rd FloorEverett, WA 98201-4231 · (425) 258-5277 · Fax (425) 258-5275

Phone(425) 258-5277

Fax(425) 258-5275

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104975101 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

License✔ Licensed in WA · CP00006033

1114 PACIFIC AVE, Everett, WA 98201

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD HOLMES M.A. CDP

Counselor (Addiction (Substance Use Disorder))

1114 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-5277

MS. CATHERINE MARIE DAHL CDP

Counselor (Addiction (Substance Use Disorder))

1114 PACIFIC AVE, 3RD FLOOR
EVERETT, WA 98201

Snohomish County (425) 258-5277

MRS. MICHELLE COLLEEN BRUNSON

Counselor (Addiction (Substance Use Disorder))

1114 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-5270

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 Jennifer Kelley's NPI number?

The NPI number for Jennifer Kelley is 1104975101. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jennifer Kelley located?

Jennifer Kelley practices at 1114 Pacific Ave 3rd Floor, Everett, WA 98201. The listed phone number is (425) 258-5277.

What is Jennifer Kelley'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 Jennifer Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.