JACOB MICHAEL SHELLEY CDCA/CPRS
NPI 1265132211
Peer Specialist in Dayton, OH

Q: What is Jacob Shelley's NPI number?

The NPI number for Jacob Shelley is 1265132211. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Q: What is Jacob Shelley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Shelley was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 08, 2023

343 TROY ST, DAYTON, OH 45404(937) 949-1524 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jacob Michael Shelley Cdca/cprs NPPES

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

JACOB MICHAEL SHELLEY CDCA/CPRS (NPI 1265132211) is an individual peer specialist in Dayton, Ohio, licensed in Ohio (APS.003608) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1265132211

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJACOB MICHAEL SHELLEYCredential: CDCA/CPRS

Location Address343 TROY STDayton, OH 45404-1830

Mailing Address343 Troy StDayton, OH 45404-1830

Phone(937) 949-1524

Sole ProprietorNo

Enumeration DateMarch 8, 2023

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1265132211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OH · APS.003608

Definition

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.187249 (OH)

343 TROY ST, Dayton, OH 45404

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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 Jacob Shelley's NPI number?

The NPI number for Jacob Shelley is 1265132211. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Jacob Shelley located?

Jacob Shelley practices at 343 Troy St, Dayton, OH 45404. The listed phone number is (937) 949-1524.

What is Jacob Shelley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacob Shelley was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.