MR. BARRY DEAN KELLEM CBHCM
NPI 1780435669
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Active since March 29, 2024
902 ASHTON COVE TER, JACKSONVILLE, FL 32218(561) 713-4766 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Barry Dean Kellem Cbhcm NPPES

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

MR. BARRY DEAN KELLEM CBHCM (NPI 1780435669) is an individual addiction (substance use disorder) provider in Jacksonville, Florida and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1780435669
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. BARRY DEAN KELLEMCredential: CBHCM
Location Address902 ASHTON COVE TERJacksonville, FL 32218-6126
Mailing Address902 Ashton Cove TerJacksonville, FL 32218-6126 · (561) 713-4766
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1780435669 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
902 ASHTON COVE TER, Jacksonville, FL 32218

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 Barry Kellem's NPI number?

The NPI number for Barry Kellem is 1780435669. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Barry Kellem located?

Barry Kellem practices at 902 Ashton Cove Ter, Jacksonville, FL 32218. The listed phone number is (561) 713-4766.

What is Barry Kellem'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 Barry Kellem was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.