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NICOLE VJ KELLEY
NPI 1760117873
Peer Specialist in Port Townsend, WA

Active since July 21, 2022
884 W PARK AVE, PORT TOWNSEND, WA 98368(360) 385-0321 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Jul 21, 2022 (2 updates tracked since 2022).

About Nicole Vj Kelley NPPES

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

NICOLE VJ KELLEY (NPI 1760117873) is an individual peer specialist in Port Townsend, Washington and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1760117873
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE VJ KELLEY
Location Address884 W PARK AVEPort Townsend, WA 98368-2273
Mailing AddressPo Box 565Port Townsend, WA 98368-0565
Phone(360) 385-0321
Sole ProprietorYes
Enumeration DateJuly 21, 2022
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1760117873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
884 W PARK AVE, Port Townsend, WA 98368
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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.

JENNA ANNE HEIL BA, AAC
Counselor
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
DAVID ARTHUR HALL RN
Registered Nurse
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
KELLY ASHCRAFT
Counselor
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
MICHELE ANN RABEY RN
Registered Nurse
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
MRS. JENA LEANNA PIERCE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
CYNTHIA KOAN
Student in an Organized Health Care Education/Training Program
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
SARAH WILLICK LMHC-A
Counselor (Mental Health)
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321
ZACHARY D MANGUM ARNP
Nurse Practitioner (Psychiatric/Mental Health)
884 W PARK AVE
PORT TOWNSEND, WA 98368
Jefferson County (360) 385-0321

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 Nicole Kelley's NPI number?

The NPI number for Nicole Kelley is 1760117873. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Nicole Kelley located?

Nicole Kelley practices at 884 W Park Ave, Port Townsend, WA 98368. The listed phone number is (360) 385-0321.

What is Nicole Kelley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicole Kelley was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.