KELLY SHEPHERD CASAC-T
NPI 1861972416
Counselor - Addiction (Substance Use Disorder) in Poughkeepsie, NY

Active since August 14, 2018
412 MAIN ST, POUGHKEEPSIE, NY 12601(845) 486-8880 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Shepherd Casac-t NPPES

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

KELLY SHEPHERD CASAC-T (NPI 1861972416) is an individual addiction (substance use disorder) provider in Poughkeepsie, New York and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1861972416
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY SHEPHERDCredential: CASAC-T
Location Address412 MAIN STPoughkeepsie, NY 12601-3312
Mailing Address412 Main StPoughkeepsie, NY 12601-3312
Sole ProprietorNo
Enumeration DateAugust 14, 2018
NPI 1861972416 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
412 MAIN ST, Poughkeepsie, NY 12601

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
412 MAIN ST
POUGHKEEPSIE, NY 12601
Peer Specialist
412 MAIN ST
POUGHKEEPSIE, NY 12601
Counselor (Addiction (Substance Use Disorder))
412 MAIN ST
POUGHKEEPSIE, NY 12601
Counselor (Addiction (Substance Use Disorder))
412 MAIN ST
POUGHKEEPSIE, NY 12601
Counselor (Addiction (Substance Use Disorder))
412 MAIN ST, 2ND FLOOR
POUGHKEEPSIE, NY 12601
Counselor (Addiction (Substance Use Disorder))
412 MAIN ST
POUGHKEEPSIE, NY 12601
Social Worker
412 MAIN ST
POUGHKEEPSIE, NY 12601
Counselor (Addiction (Substance Use Disorder))
412 MAIN ST
POUGHKEEPSIE, NY 12601

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 Shepherd's NPI number?

The NPI number for Kelly Shepherd is 1861972416. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Kelly Shepherd located?

Kelly Shepherd practices at 412 Main St, Poughkeepsie, NY 12601. The listed phone number is (845) 486-8880.

What is Kelly Shepherd'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 Shepherd was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.