DANA MONROE KELLEY
NPI 1174298624
Peer Specialist in Lake Elsinore, CA
- Individual
- Female
- Peer Specialist
About DANA KELLEY
This page provides the complete NPI Profile along with additional information for Dana Kelley, a provider established in Lake Elsinore, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1174298624 assigned on August 2021. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1174298624 Verify this NPI
- Provider Name
- DANA MONROE KELLEY
- Other Name
- DANA MONROE DYE KELLEY
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 31772 CASINO DR LAKE ELSINORE, CA 92530
- Location Phone
- (951) 674-9400
- Mailing Address
- 31772 CASINO DR LAKE ELSINORE, CA 92530
- Mailing Phone
- (951) 674-9400
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-16-2021
- Last Update Date
- 06-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- CA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | (CA) |
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174298624, enumerated as an "individual" on August 16, 2021.
The provider is located at 31772 CASINO DR LAKE ELSINORE, CA 92530 and the phone number is (951) 674-9400.
Peer Specialist with taxonomy code 175T00000X.
