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STAYSHA KELLY
NPI 1184277808
Counselor - Addiction (Substance Use Disorder) in Fairbanks, AK

Active since July 22, 2019
542 4TH AVE STE B101, FAIRBANKS, AK 99701(907) 750-9589(907) 374-1062 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Staysha Kelly NPPES

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

STAYSHA KELLY (NPI 1184277808) is an individual addiction (substance use disorder) provider in Fairbanks, Alaska and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1184277808
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTAYSHA KELLY
Location Address542 4TH AVE STE B101Fairbanks, AK 99701-4707
Mailing Address1022 Akiak AveFairbanks, AK 99701-1417 · (907) 750-9589
Phone(907) 750-9589
Fax(907) 374-1062
Sole ProprietorNo
Enumeration DateJuly 22, 2019
✔ NPI 1184277808 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
542 4TH AVE STE B101, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 20

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

TERRA DUNKLEY
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
JEWEL PRESHAW
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
ALICIA DESMOND
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MONIQUE LEYVA
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAWNA R KEITH
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MELINDA S PRIDE
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
HAILEY JENKINS
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAUNA MURSCH
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097

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 Staysha Kelly's NPI number?

The NPI number for Staysha Kelly is 1184277808. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Staysha Kelly located?

Staysha Kelly practices at 542 4th Ave Ste B101, Fairbanks, AK 99701. The listed phone number is (907) 750-9589.

What is Staysha Kelly'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 Staysha Kelly was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.