MR. JOHN KELLY
NPI 1508135252
Counselor - Addiction (Substance Use Disorder) in Lake Worth, FL

Active since December 27, 2011
4550 LANTANA ROAD, SUITE A4, LAKE WORTH, FL 33463(561) 340-7259 Get Directions Write a Review

NPPES record last updated: December 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Kelly NPPES

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

MR. JOHN KELLY (NPI 1508135252) is an individual addiction (substance use disorder) provider in Lake Worth, Florida, licensed in Florida (3217) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1508135252
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JOHN KELLY
Location Address4550 LANTANA ROAD, SUITE A4Lake Worth, FL 33463
Mailing Address9170 Sw 14th St Apt 4107Boca Raton, FL 33428-6829 · (561) 603-1807
Sole ProprietorYes
Enumeration DateDecember 27, 2011
NPI 1508135252 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 FL · 3217
4550 LANTANA ROAD, Lake Worth, FL 33463

Other Names 1

Other Name (5)Jack Kelly Cap,nlp,lhp

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 John Kelly's NPI number?

The NPI number for John Kelly is 1508135252. It was assigned to this individual provider in the NPPES registry on December 27, 2011. The provider is also known as Jack Kelly Cap,nlp,lhp.

Where is John Kelly located?

John Kelly practices at 4550 Lantana Road Suite A4, Lake Worth, FL 33463. The listed phone number is (561) 340-7259.

What is John 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 John Kelly was last updated on December 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.