JAZAIHA LANAE KELLEY
NPI 1174202386
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Q: What is Jazaiha Kelley's NPI number?

The NPI number for Jazaiha Kelley is 1174202386. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Q: What is Jazaiha 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 Jazaiha Kelley was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 14, 2023

2700 BRENNER WAY, MODESTO, CA 95350(559) 241-3239 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jazaiha Lanae Kelley NPPES

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

JAZAIHA LANAE KELLEY (NPI 1174202386) is an individual addiction (substance use disorder) provider in Modesto, California and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1174202386

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJAZAIHA LANAE KELLEY

Location Address2700 BRENNER WAYModesto, CA 95350-1704

Mailing Address2700 Brenner WayModesto, CA 95350-1704 · (559) 241-3239

Phone(559) 241-3239

Sole ProprietorNo

Enumeration DateJuly 14, 2023

NPPES CertifiedJuly 14, 2023

✔ NPI 1174202386 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

2700 BRENNER WAY, Modesto, CA 95350

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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 Jazaiha Kelley's NPI number?

The NPI number for Jazaiha Kelley is 1174202386. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Jazaiha Kelley located?

Jazaiha Kelley practices at 2700 Brenner Way, Modesto, CA 95350. The listed phone number is (559) 241-3239.

What is Jazaiha 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 Jazaiha Kelley was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.