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DEMETRI RASHAD KELLEY
NPI 1659009389
Counselor in Rancho Cucamonga, CA

Active since August 10, 2022
11519 CARLISLE PL, RANCHO CUCAMONGA, CA 91730(909) 484-7259 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetri Rashad Kelley NPPES

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

DEMETRI RASHAD KELLEY (NPI 1659009389) is an individual counselor in Rancho Cucamonga, California and active in the NPI registry since August 2022. He maintains a secondary practice location in Rancho Cucamonga.

NPPES Registry Identity

NPI1659009389
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDEMETRI RASHAD KELLEY
Location Address11519 CARLISLE PLRancho Cucamonga, CA 91730-7233
Mailing Address16258 Ladybird WayFontana, CA 92336-5828 · (760) 605-4778
Phone(909) 484-7259
Sole ProprietorYes
Enumeration DateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1659009389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
11519 CARLISLE PL, Rancho Cucamonga, CA 91730
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Secondary Practice Location 1

Location 17839 Patriot PlRancho Cucamonga, CA 91730-2640 · Phone (909) 948-2898

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JOHN PATRICK MORRIS
Rehabilitation Practitioner
11519 CARLISLE PL
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 484-7259
MS. TIFFINI COLEMAN LCSW
Social Worker (Clinical)
11519 CARLISLE PL
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 948-2898
VANNESA RAQUEL ARRIVILLAGA LMFT
Marriage & Family Therapist
11519 CARLISLE PL
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 791-6007
TENDER LOVING CARE HOME FOR BOYS, INC
Residential Treatment Facility, Emotionally Disturbed Children
11519 CARLISLE PL
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 484-7259
ALEXANDRIA DAVALOS
Community Health Worker
11519 CARLISLE PL
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 972-0992

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 Demetri Kelley's NPI number?

The NPI number for Demetri Kelley is 1659009389. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Demetri Kelley located?

Demetri Kelley practices at 11519 Carlisle Pl, Rancho Cucamonga, CA 91730. The listed phone number is (909) 484-7259.

What is Demetri Kelley's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Demetri Kelley was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.