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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY LEROY KILLINGSWORTH
NPI 1801722277
Counselor - Addiction (Substance Use Disorder) in Eureka, CA

Active since June 22, 2026
905 L ST, EUREKA, CA 95501(707) 444-2033(707) 442-1191 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Leroy Killingsworth NPPES

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

KELLY LEROY KILLINGSWORTH (NPI 1801722277) is an individual addiction (substance use disorder) provider in Eureka, California, licensed in California (120001AN) and active in the NPI registry since June 2026. He maintains 6 additional practice locations.

NPPES Registry Identity

NPI1801722277
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY LEROY KILLINGSWORTH
Location Address905 L STEureka, CA 95501-1943
Mailing Address2779 Joseph StFortuna, CA 95540-4818
Phone(707) 444-2033
Fax(707) 442-1191
Sole ProprietorNo
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1801722277 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 · 120001AN
905 L ST, Eureka, CA 95501
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Secondary Practice Locations 6

Location 11116 9th StEureka, CA 95501-1936 · Phone (707) 444-2033 · Fax (707) 442-1191
Location 21024 N StEureka, CA 95501-2047 · Phone (707) 443-4237 · Fax (707) 442-1191
Location 31303 11th StEureka, CA 95501-2028 · Phone (707) 444-6262 · Fax (707) 442-1191
Location 4944 N StEureka, CA 95501-2045 · Phone (707) 443-0514 · Fax (707) 442-1191
Location 51219 10th StEureka, CA 95501-2024 · Phone (707) 443-0514 · Fax (707) 442-1191
Location 61120 9th StEureka, CA 95501-1936 · Phone (707) 444-2033 · Fax (707) 442-1191

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 Kelly Killingsworth's NPI number?

The NPI number for Kelly Killingsworth is 1801722277. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Kelly Killingsworth located?

Kelly Killingsworth practices at 905 L St, Eureka, CA 95501. The listed phone number is (707) 444-2033.

What is Kelly Killingsworth'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 Kelly Killingsworth was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.