JENNIFER KELLY
NPI 1578814901
Counselor - Mental Health in Santa Cruz, CA

Active since September 25, 2012
1080 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4170 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Kelly NPPES

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

JENNIFER KELLY (NPI 1578814901) is an individual mental health provider in Santa Cruz, California and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1578814901
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER KELLY
Location Address1080 EMELINE AVESanta Cruz, CA 95060-1966
Mailing Address1080 Emeline AveSanta Cruz, CA 95060-1966 · (831) 454-4170
Sole ProprietorNo
Enumeration DateSeptember 25, 2012
NPI 1578814901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1080 EMELINE AVE, Santa Cruz, CA 95060

Other Identifiers 2

OtherZZZ91892ZCA · Santa Cruz County Medicare Group Ptan#
OtherZZZ92069ZCA · Santa Cruz County Medicare Group Ptan#

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychologist
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Internal Medicine
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Pharmacy
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060

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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1578814901. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 1080 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-4170.

What is Jennifer 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 Jennifer Kelly was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.