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CODY J. KELLY AAC
NPI 1225774243
Counselor in Idaho Falls, ID

Active since May 11, 2022
1820 E 17TH ST STE 330, IDAHO FALLS, ID 83404(208) 410-8695 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 11, 2022 (2 updates tracked since 2022).

About Cody J. Kelly Aac NPPES

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

CODY J. KELLY AAC (NPI 1225774243) is an individual counselor in Idaho Falls, Idaho and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1225774243
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCODY J. KELLYCredential: AAC
Location Address1820 E 17TH ST STE 330Idaho Falls, ID 83404-6400
Mailing Address1820 E 17th St Ste 330Idaho Falls, ID 83404-6400 · (208) 410-8695
Phone(208) 410-8695
Sole ProprietorNo
Enumeration DateMay 11, 2022
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1225774243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1820 E 17TH ST STE 330, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 15

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

HEATHER CAPSON
Behavior Technician
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0685
SAMUEL DUSTIN PAYNE
Case Management
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0685
ERIC JAMES MARTINEZ
Case Manager/Care Coordinator
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0685
ANGELA TINSLEY LMSW
Social Worker
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 497-0685
ASPEN DEVELOPMENTAL SERVICES, INC.
Day Training/Habilitation Specialist
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 534-8303
ASPEN MENTAL HEALTH SERVICES, INC.
Psychologist (Counseling)
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 534-8303
MCKENNA MALLOY
Behavior Technician
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 219-8336
CHILDREN'S CENTER
Clinic/Center (Adolescent and Children Mental Health)
1820 E 17TH ST STE 330
IDAHO FALLS, ID 83404
Bonneville County (208) 534-8303

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 Cody Kelly's NPI number?

The NPI number for Cody Kelly is 1225774243. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is Cody Kelly located?

Cody Kelly practices at 1820 E 17th St Ste 330, Idaho Falls, ID 83404. The listed phone number is (208) 410-8695.

What is Cody Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Cody Kelly was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.