SHANE KELLY
NPI 1528479755
Counselor - Mental Health in Cameron Park, CA
About Shane Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE KELLY (NPI 1528479755) is an individual mental health provider in Cameron Park, California and active in the NPI registry since May 2014.
NPPES Registry Identity
Specialties & Licenses
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 Shane Kelly's NPI number?
The NPI number for Shane Kelly is 1528479755. It was assigned to this individual provider in the NPPES registry on May 9, 2014.
Where is Shane Kelly located?
Shane Kelly practices at 3061 Garden Cir Unit C, Cameron Park, CA 95682. The listed phone number is (530) 903-0662.
What is Shane Kelly'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 Shane Kelly was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Shane Kelly · NPI 1528479755
Mental Health provider in Cameron Park, California. Individual provider, active in the CMS NPPES registry since May 9, 2014.
## Identity
- **NPI:** 1528479755 (Entity type: Individual)
- **Enumerated:** May 9, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3061 GARDEN CIR, UNIT C, Cameron Park, CA 95682-8557
- **Phone:** (530) 903-0662
## Record status
- **NPPES last updated:** May 9, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1528479755) · Data from the CMS NPPES public registry.