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MISTY R KELLY SUDCC
NPI 1700582525
Counselor - Addiction (Substance Use Disorder) in Woodland, CA

Active since February 02, 2023
215 W BEAMER ST, WOODLAND, CA 95695(530) 405-2800 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Feb 2, 2023 (2 updates tracked since 2023).

About Misty R Kelly Sudcc NPPES

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

MISTY R KELLY SUDCC (NPI 1700582525) is an individual addiction (substance use disorder) provider in Woodland, California, licensed in California (11402) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1700582525
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISTY R KELLYCredential: SUDCC
Location Address215 W BEAMER STWoodland, CA 95695-2510
Mailing Address215 W Beamer StWoodland, CA 95695-2510 · (530) 405-2800
Phone(530) 405-2800
Sole ProprietorNo
Enumeration DateFebruary 2, 2023
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1700582525 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 · 11402
215 W BEAMER ST, Woodland, CA 95695
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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.

MR. JEFFREY J CALDWELL
Social Worker
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
SUZANNE H EMAM MSW, LCSW
Social Worker
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2895
AIMEE LAVONNE GIRARD RADT
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
DANIEL ALLAN WALKER SUDRC II
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
MARIA SANDOVAL CHARLES RADT
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
SEAN SCOTT ERICKSON
Student in an Organized Health Care Education/Training Program
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2815
STEPHEN CHRISTOPHER CARDOZA SUDRC
Case Manager/Care Coordinator
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2800
MOISES ARANDA
Physician Assistant
215 W BEAMER ST
WOODLAND, CA 95695
Yolo County (530) 405-2800

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 Misty Kelly's NPI number?

The NPI number for Misty Kelly is 1700582525. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Misty Kelly located?

Misty Kelly practices at 215 W Beamer St, Woodland, CA 95695. The listed phone number is (530) 405-2800.

What is Misty 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 Misty Kelly was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.