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KELLY MINER-GANN
NPI 1891029005
Counselor - Mental Health in Grass Valley, CA

Active since September 22, 2009
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945(530) 273-4984(530) 273-4573 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Kelly Miner-gann NPPES

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

KELLY MINER-GANN (NPI 1891029005) is an individual mental health provider in Grass Valley, California and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1891029005
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY MINER-GANN
Location Address844 OLD TUNNEL RDGrass Valley, CA 95945-8524
Mailing Address844 Old Tunnel RdGrass Valley, CA 95945-8524 · (530) 273-4984
Phone(530) 273-4984
Fax(530) 273-4573
Sole ProprietorNo
Enumeration DateSeptember 22, 2009
Last NPPES UpdateMarch 13, 20182 updates tracked since enumeration
✔ NPI 1891029005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
844 OLD TUNNEL RD, Grass Valley, CA 95945
Open in Google Maps ↗

Other Identifiers 5

OtherFHC 70042FCA · Santa Cruz County Medi-cal Provider #
OtherFHC 70044FCA · Santa Cruz County Medi-cal Provider #
OtherZZZ91892ZCA · Santa Cruz County Medicare Group Ptan#
OtherZZZ92069ZCA · Santa Cruz County Medicare Group Ptan#
OtherZZZ91891ZCA · Santa Cruz County Medicare Group Ptan#

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.

ANDREA GEKAS CNM, WHNP
Registered Nurse (Women's Health Care, Ambulatory)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
ASHLEY MICHELLE CHURCH PA-C
Physician Assistant (Medical)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
STACIE LA JEUNESSE CPNP
Nurse Practitioner (Pediatrics)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
WESTERN SIERRA MEDICAL CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
CLINIC PHARMACIES III LLC
Pharmacy (Community/Retail Pharmacy)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-0182
HAVILYN MICHELE HARRAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
MS. KATELYN MARIE FERNANDEZ PA-C, RD
Physician Assistant
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
MORGAN DEE NETTLES STEWART WHNP
Nurse Practitioner (Women's Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984

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 Miner-gann's NPI number?

The NPI number for Kelly Miner-gann is 1891029005. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Kelly Miner-gann located?

Kelly Miner-gann practices at 844 Old Tunnel Rd, Grass Valley, CA 95945. The listed phone number is (530) 273-4984.

What is Kelly Miner-gann's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Miner-gann was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.