WHITNEY MARIE KELLY SUDRC 12452
NPI 1376203356
Counselor - Addiction (Substance Use Disorder) in Santa Maria, CA

Active since December 18, 2021
412B E TUNNELL ST, SANTA MARIA, CA 93454(805) 925-0315 Get Directions Write a Review

NPPES record last updated: December 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Whitney Marie Kelly Sudrc 12452 NPPES

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

WHITNEY MARIE KELLY SUDRC 12452 (NPI 1376203356) is an individual addiction (substance use disorder) provider in Santa Maria, California, licensed in California (12452) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1376203356
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameWHITNEY MARIE KELLYCredential: SUDRC 12452
Location Address412B E TUNNELL STSanta Maria, CA 93454-4146
Mailing Address731 S Lincoln StSanta Maria, CA 93458-6107
Sole ProprietorYes
Enumeration DateDecember 18, 2021
NPPES CertifiedDecember 1, 2021
NPI 1376203356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 12452
412B E TUNNELL ST, Santa Maria, CA 93454

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
412B E TUNNELL ST
SANTA MARIA, CA 93454
Counselor (Addiction (Substance Use Disorder))
412B E TUNNELL ST
SANTA MARIA, CA 93454
Counselor (Addiction (Substance Use Disorder))
412B E TUNNELL ST
SANTA MARIA, CA 93454
Community/Behavioral Health
412B E TUNNELL ST
SANTA MARIA, CA 93454

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 Whitney Kelly's NPI number?

The NPI number for Whitney Kelly is 1376203356. It was assigned to this individual provider in the NPPES registry on December 18, 2021.

Where is Whitney Kelly located?

Whitney Kelly practices at 412B E Tunnell St, Santa Maria, CA 93454. The listed phone number is (805) 925-0315.

What is Whitney Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Whitney Kelly was last updated on December 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.