ANDY BURL KELLEMS II CADC
NPI 1639556673
Counselor - Addiction (Substance Use Disorder) in Costa Mesa, CA

Active since April 29, 2015
3151 AIRWAY AVE STE F107, COSTA MESA, CA 92626(714) 964-6730(714) 964-4382 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andy Burl Kellems Ii Cadc NPPES

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

ANDY BURL KELLEMS II CADC (NPI 1639556673) is an individual addiction (substance use disorder) provider in Costa Mesa, California, licensed in California (081486) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1639556673
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANDY BURL KELLEMS IICredential: CADC
Location Address3151 AIRWAY AVE STE F107Costa Mesa, CA 92626-4623
Mailing Address21062 Brookhurst St Ste 201Huntington Beach, CA 92646-7404 · (714) 964-6730 · Fax (714) 964-4382
Fax(714) 964-4382
Sole ProprietorYes
Enumeration DateApril 29, 2015
NPI 1639556673 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 · 081486
3151 AIRWAY AVE STE F107, Costa Mesa, CA 92626

Other Identifiers 1

Other081486CA · Caade

Other Providers at the Same Location NPPES 5

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

Substance Abuse Rehabilitation Facility
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626
Rehabilitation, Substance Use Disorder Unit
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626
Counselor (Addiction (Substance Use Disorder))
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626
Social Worker (Clinical)
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626
Social Worker (Clinical)
3151 AIRWAY AVE STE F107
COSTA MESA, CA 92626

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 Andy Kellems's NPI number?

The NPI number for Andy Kellems is 1639556673. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Andy Kellems located?

Andy Kellems practices at 3151 Airway Ave Ste F107, Costa Mesa, CA 92626. The listed phone number is (714) 964-6730.

What is Andy Kellems'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 Andy Kellems was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.