KELLY JENSEN ICADC
NPI 1386241511
Counselor - Addiction (Substance Use Disorder) in Buffalo, NY

Q: What is Kelly Jensen's NPI number?

The NPI number for Kelly Jensen is 1386241511. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Q: What is Kelly Jensen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Jensen was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 01, 2020

255 DELAWARE AVE STE 3000, BUFFALO, NY 14202(716) 842-0440 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Kelly Jensen Icadc NPPES

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

KELLY JENSEN ICADC (NPI 1386241511) is an individual addiction (substance use disorder) provider in Buffalo, New York, licensed in Guam (827461) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1386241511

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY JENSENCredential: ICADC

Location Address255 DELAWARE AVE STE 3000Buffalo, NY 14202-2016

Mailing Address255 Delaware Ave Ste 3000Buffalo, NY 14202-2016 · (716) 842-0440

Phone(716) 842-0440

Sole ProprietorNo

Enumeration DateOctober 1, 2020

NPPES CertifiedOctober 1, 2020

✔ NPI 1386241511 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 GU · 827461

255 DELAWARE AVE STE 3000, Buffalo, NY 14202

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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 Kelly Jensen's NPI number?

The NPI number for Kelly Jensen is 1386241511. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Kelly Jensen located?

Kelly Jensen practices at 255 Delaware Ave Ste 3000, Buffalo, NY 14202. The listed phone number is (716) 842-0440.

What is Kelly Jensen'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 Kelly Jensen was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.