MISS SHELLY ROSE KEENE
NPI 1205359023
Counselor - Mental Health in San Diego, CA

Active since July 24, 2017
4394 30TH ST, SAN DIEGO, CA 92104(619) 281-8313 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Jul 24, 2017 (2 updates tracked since 2017).

About Miss Shelly Rose Keene NPPES

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

MISS SHELLY ROSE KEENE (NPI 1205359023) is an individual mental health provider in San Diego, California, licensed in California (150415) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1205359023
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS SHELLY ROSE KEENE
Location Address4394 30TH STSan Diego, CA 92104-1314
Mailing Address5623 Sapphire LoopAnchorage, AK 99504-6001 · (619) 712-7012
Sole ProprietorNo
Enumeration DateJuly 24, 2017
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1205359023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 150415
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 150415 (CA)
4394 30TH ST, San Diego, CA 92104

Other Providers at the Same Location NPPES 7

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

Student in an Organized Health Care Education/Training Program
4394 30TH ST
SAN DIEGO, CA 92104
Counselor (Mental Health)
4394 30TH ST
SAN DIEGO, CA 92104
Marriage & Family Therapist
4394 30TH ST
SAN DIEGO, CA 92104
Student in an Organized Health Care Education/Training Program
4394 30TH ST
SAN DIEGO, CA 92104
Counselor (Mental Health)
4394 30TH ST
SAN DIEGO, CA 92104
Marriage & Family Therapist
4394 30TH ST
SAN DIEGO, CA 92104
Student in an Organized Health Care Education/Training Program
4394 30TH ST
SAN DIEGO, CA 92104

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 Shelly Keene's NPI number?

The NPI number for Shelly Keene is 1205359023. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Shelly Keene located?

Shelly Keene practices at 4394 30th St, San Diego, CA 92104. The listed phone number is (619) 281-8313.

What is Shelly Keene's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Shelly Keene was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.