1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Counselor
  6. NPI Profile

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: July 19, 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
Open in Google Maps ↗

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.

SURECH DAWN KEMESONG
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHELISSA F THOMAS CDC1
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
CESSNIE J SANDERSON CNA, CMA
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
MARITZA DIONNE MIRANDA 08/29/8708
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHANNON DICKERSON
Counselor (Professional)
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
TIMOTHY THOMAS
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
JOZEY MARIA MARTELLARO
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097
SHAUN'TRECE WHITE
Counselor (Addiction (Substance Use Disorder))
542 4TH AVE STE B101
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-1097

Frequently Asked Questions

What is Staysha Kelly's NPI number?

The NPI number assigned to this healthcare provider is 1184277808, enumerated as an "individual" on July 22, 2019.

Where is the provider located?

The provider is located at 542 4TH AVE STE B101 FAIRBANKS, AK 99701 and the phone number is (907) 750-9589.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).