KELLY STEPHENSON CMA, RADT
NPI 1972266393
Counselor - Addiction (Substance Use Disorder) in Santa Ana, CA

Active since October 21, 2021
1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2022, Oct 21, 2021 (2 updates tracked since 2021).

About Kelly Stephenson Cma, Radt NPPES

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

KELLY STEPHENSON CMA, RADT (NPI 1972266393) is an individual addiction (substance use disorder) provider in Santa Ana, California, licensed in California (R1447811021) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1972266393
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY STEPHENSONCredential: CMA, RADT
Location Address1207 E FRUIT STSanta Ana, CA 92701-4296
Mailing Address141 W Olive Ave Apt 1La Habra, CA 90631-6093 · (714) 718-7814
Sole ProprietorNo
Enumeration DateOctober 21, 2021
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
NPI 1972266393 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 · R1447811021
1207 E FRUIT ST, Santa Ana, CA 92701

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.

Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Licensed Vocational Nurse
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Student in an Organized Health Care Education/Training Program
1207 E FRUIT ST
SANTA ANA, CA 92701
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701

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 Stephenson's NPI number?

The NPI number for Kelly Stephenson is 1972266393. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Kelly Stephenson located?

Kelly Stephenson practices at 1207 E Fruit St, Santa Ana, CA 92701. The listed phone number is (714) 953-9373.

What is Kelly Stephenson'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 Stephenson was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.