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KELLEY ANNE NICHOLSON
NPI 1962059832
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since August 24, 2019
1235 MCHENRY AVE STE A&B, MODESTO, CA 95350(209) 527-4597 Get Directions Write a Review

NPPES record last updated: August 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelley Anne Nicholson NPPES

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

KELLEY ANNE NICHOLSON (NPI 1962059832) is an individual addiction (substance use disorder) provider in Modesto, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1962059832
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLEY ANNE NICHOLSON
Location Address1235 MCHENRY AVE STE A&BModesto, CA 95350-5370
Mailing Address4000 Tierra Lago DrModesto, CA 95356-8743 · (510) 325-6790
Phone(209) 527-4597
Sole ProprietorNo
Enumeration DateAugust 24, 2019
✔ NPI 1962059832 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
1235 MCHENRY AVE STE A&B, 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.

ANDREW MENDONCA
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
SERENITY NICOLE SULEK
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
GOVERNOR GILFORD JACKSON
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
MS. ELIZABETH JAZMIN FIGUEROA
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
ASHLEY BORUM
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
SARAH ELIZABETH SERRANO
Counselor (Addiction (Substance Use Disorder))
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
ANGELA PANGILINAN
Licensed Vocational Nurse
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597
KARA FRENCH LVN
Licensed Vocational Nurse
1235 MCHENRY AVE STE A&B
MODESTO, CA 95350
Stanislaus County (209) 527-4597

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 Kelley Nicholson's NPI number?

The NPI number for Kelley Nicholson is 1962059832. It was assigned to this individual provider in the NPPES registry on August 24, 2019.

Where is Kelley Nicholson located?

Kelley Nicholson practices at 1235 Mchenry Ave Ste A&b, Modesto, CA 95350. The listed phone number is (209) 527-4597.

What is Kelley Nicholson'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 Kelley Nicholson was last updated on August 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.