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JENNIFER KELLEY-YOUNG LADC
NPI 1164766200
Counselor - Addiction (Substance Use Disorder) in Portland, ME

Active since November 15, 2012
11 BAXTER BLVD, PORTLAND, ME 04101(207) 775-5671(207) 871-1243 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Kelley-young Ladc NPPES

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

JENNIFER KELLEY-YOUNG LADC (NPI 1164766200) is an individual addiction (substance use disorder) provider in Portland, Maine, licensed in Maine (LC6257) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1164766200
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER KELLEY-YOUNGCredential: LADC
Location Address11 BAXTER BLVDPortland, ME 04101-1801
Mailing Address11 Baxter BlvdPortland, ME 04101-1801 · (207) 775-5671 · Fax (207) 871-1243
Phone(207) 775-5671
Fax(207) 871-1243
Sole ProprietorNo
Enumeration DateNovember 15, 2012
Last NPPES UpdateJuly 8, 2019
✔ NPI 1164766200 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 ME · LC6257
11 BAXTER BLVD, Portland, ME 04101
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Other Providers at the Same Location NPPES 11

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

MRS. ANDREA KELLY SCHACHTNER
Counselor
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 775-5671
MARY RIBBLE LCSW
Social Worker (Clinical)
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 775-5671
CATHOLIC CHARITIES MAINE
Community/Behavioral Health
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 775-5671
MRS. DEBRA A OUIMETTE PHD, LADC, CASAC,SAP
Counselor (Addiction (Substance Use Disorder))
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 775-5671
STEPHANIE F POTTS
Counselor (Addiction (Substance Use Disorder))
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 775-5671
NICOLE FIRTH LCSW
Social Worker (Clinical)
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 828-4026
NATHANIEL P CLARK LCPC-C
Counselor (Professional)
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 774-8700
JACOB LAPIERRE LCSW
Social Worker (Clinical)
11 BAXTER BLVD
PORTLAND, ME 04101
Cumberland County (207) 857-7426

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-young's NPI number?

The NPI number for Jennifer Kelley-young is 1164766200. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Jennifer Kelley-young located?

Jennifer Kelley-young practices at 11 Baxter Blvd, Portland, ME 04101. The listed phone number is (207) 775-5671.

What is Jennifer Kelley-young'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-young was last updated on July 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.