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MRS. CRISSY CHANELL KELLY
NPI 1780359703
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since August 11, 2021
2000 W BRIGGSMORE AVE STE I, MODESTO, CA 95350(209) 526-1476(209) 526-1476 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Crissy Chanell Kelly NPPES

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

MRS. CRISSY CHANELL KELLY (NPI 1780359703) is an individual addiction (substance use disorder) provider in Modesto, California and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1780359703
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CRISSY CHANELL KELLY
Location Address2000 W BRIGGSMORE AVE STE IModesto, CA 95350-3839
Mailing Address2000 W Briggsmore Ave Ste IModesto, CA 95350-3839 · (209) 526-1476 · Fax (209) 526-1476
Phone(209) 526-1476
Fax(209) 526-1476
Sole ProprietorNo
Enumeration DateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
✔ NPI 1780359703 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
2000 W BRIGGSMORE AVE STE I, Modesto, CA 95350
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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.

JOSEPH ANTHONY KING CATC II
Counselor (Addiction (Substance Use Disorder))
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
MRS. MARIA EDITH MARTINEZ MSW,ASW
Counselor (Professional)
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
ANA B MIRAMONTES
Counselor (Professional)
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 631-1956
CANDICE ROSE ARELLANO
Case Manager/Care Coordinator
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 919-0062
PARMINE RANDHAWA
Counselor (Professional)
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 526-1440
KENDRA MCKINLEY
Counselor (Professional)
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 526-1476
GALEN ROSE MARTIN
Student in an Organized Health Care Education/Training Program
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (209) 968-4379
ERIN RENEE SMALLEY M.A.
Marriage & Family Therapist
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350
Stanislaus County (925) 943-1794

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 Crissy Kelly's NPI number?

The NPI number for Crissy Kelly is 1780359703. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Crissy Kelly located?

Crissy Kelly practices at 2000 W Briggsmore Ave Ste I, Modesto, CA 95350. The listed phone number is (209) 526-1476.

What is Crissy 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 Crissy Kelly was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.