JEREMY JOHN KELLY
NPI 1295696714
Counselor in Rochester, NY

Q: What is Jeremy Kelly's NPI number?

The NPI number for Jeremy Kelly is 1295696714. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Q: What is Jeremy Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Kelly was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 24, 2025

1100 LONG POND RD STE 222, ROCHESTER, NY 14626(585) 385-6030 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2026, Nov 24, 2025 (2 updates tracked since 2025).

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About Jeremy John Kelly NPPES

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

JEREMY JOHN KELLY (NPI 1295696714) is an individual counselor in Rochester, New York, licensed in New York (130139) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1295696714

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameJEREMY JOHN KELLY

Location Address1100 LONG POND RD STE 222Rochester, NY 14626-1177

Mailing Address1100 Long Pond Rd Ste 222Rochester, NY 14626-1177 · (585) 385-6030

Phone(585) 385-6030

Sole ProprietorNo

Enumeration DateNovember 24, 2025

Last NPPES UpdateJanuary 4, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2026

✔ NPI 1295696714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NY · 130139

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.

1100 LONG POND RD STE 222, Rochester, NY 14626

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Other Providers at the Same Location NPPES 2

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

ADRIENNE DANIELS LMSW

Social Worker

1100 LONG POND RD STE 222
ROCHESTER, NY 14626

Monroe County (585) 385-6030

AMANDA SHULTES LMSW

Social Worker

1100 LONG POND RD STE 222
GREECE, NY 14626

Monroe County (585) 385-6030

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 Jeremy Kelly's NPI number?

The NPI number for Jeremy Kelly is 1295696714. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Jeremy Kelly located?

Jeremy Kelly practices at 1100 Long Pond Rd Ste 222, Rochester, NY 14626. The listed phone number is (585) 385-6030.

What is Jeremy 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 Jeremy Kelly was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.