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DR. SHANNON RAE KELLEY-POULOS PSYD
NPI 1275742066
Counselor - Mental Health in Milwaukee, WI

Active since May 21, 2007
1216 N PROSPECT AVE, MILWAUKEE, WI 53202(414) 271-9791(414) 271-1299 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Rae Kelley-poulos Psyd NPPES

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

DR. SHANNON RAE KELLEY-POULOS PSYD (NPI 1275742066) is an individual mental health provider in Milwaukee, Wisconsin and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1275742066
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SHANNON RAE KELLEY-POULOSCredential: PSYD
Location Address1216 N PROSPECT AVEMilwaukee, WI 53202-3014
Mailing Address1216 N Prospect AveMilwaukee, WI 53202-3014 · (414) 271-9791 · Fax (414) 271-1299
Phone(414) 271-9791
Fax(414) 271-1299
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275742066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1216 N PROSPECT AVE, Milwaukee, WI 53202
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Other Providers at the Same Location NPPES 6

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

THE KELLEY CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9272
MRS. PAMELA HOWARD BLASZAK LPC, CSAC
Counselor (Addiction (Substance Use Disorder))
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 210-4841
4TH DIMENSION RECOVERY CENTERS
Clinic/Center (Rehabilitation, Substance Use Disorder)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (973) 277-5359
MS. JANE ANN KELLEY LCSW
Social Worker (Clinical)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9272
DR. SHAYLA KELLEY LA LONDE PSY. D.
Counselor (Mental Health)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 271-9272
KELLEY CLINIC LLC
Social Worker (Clinical)
1216 N PROSPECT AVE
MILWAUKEE, WI 53202
Milwaukee County (414) 536-8604

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 Shannon Kelley-poulos's NPI number?

The NPI number for Shannon Kelley-poulos is 1275742066. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Shannon Kelley-poulos located?

Shannon Kelley-poulos practices at 1216 N Prospect Ave, Milwaukee, WI 53202. The listed phone number is (414) 271-9791.

What is Shannon Kelley-poulos'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 Shannon Kelley-poulos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.