PATRICK C KELLEY (NPI# 1659868941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659868941 |
| Entity Type | Individual |
| Full Name | PATRICK C KELLEY |
| Credential | CDCA |
| Practice Address |
103 2nd Ave Chesapeake OH 45619-1134 |
| Mailing Address |
2239 Barbeque Rd Catlettsburg KY 41129-1215 |
| Practice Telephone | 7404510434 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.171119 | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225437775 | Patrick Kelley | Preventive Medicine | 1935 Kimberly Rd, Silver Spring, MD 20903-1221 | 2014-08-21 |
| 1568702603 | Patrick Joseph Kelley | Physical Therapy Assistant | 1316 Harner Ln, Cloquet, MN 55720-2973 | 2013-02-27 |
| 1063544138 | Patrick Johm Kelley | Dentist | 85 Patton Rd., Robbinsville, NC 28771 | 2007-03-12 |
| 1861593949 | Patrick Mark Kelley | Plastic Surgery | 15 Doctors Dr, Panama City, FL 32405-4520 | 2006-09-25 |
| 1659306348 | Patrick Kelley | Oral & Maxillofacial Surgery | 1301 Barbara Jordan Blvd Ste 301, Austin, TX 78723-3078 | 2006-07-11 |
| 1902846504 | Patrick L Kelley | Physician Assistant | 150 S 12th St, Phoenix, AZ 85034-2301 | 2006-06-08 |
| 1316949274 | Patrick Kelley | Nurse Anesthetist, Certified Registered | 2865 Westmoreland Ave Nw, Canton, OH 44718-3318 | 2005-08-11 |
| 1972077550 | Patrick Kelley | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2677 | 2019-01-16 |
| 1972092245 | Patrick Kelley | Student in an Organized Health Care Education/Training Program | 777 Clinton Ave S, Rochester, NY 14620-1448 | 2018-05-02 |
| 1972011864 | Patrick W Kelley Jr. | Behavioral Analyst | 9481 Bayshore Dr Nw Ste 201, Silverdale, WA 98383-8378 | 2018-01-13 |
| Street Address |
103 2ND AVE |
| City | CHESAPEAKE |
| State | OH |
| Zip Code | 45619-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518356708 | Riverside Recovery Services LLC | Community/Behavioral Health | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2015-01-12 |
| 1497354971 | Cayla D Rice | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-26 |
| 1053918912 | Lura N Cooper | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-10-05 |
| 1033725890 | Brandi M Nichols | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-09-17 |
| 1326651860 | Britany Carrico | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-08-25 |
| 1184235145 | Jamecia L James | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-08-13 |
| 1700495066 | Rosehanna E Plumley | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-07-23 |
| 1679191852 | Kira M Cherry | Case Manager/Care Coordinator | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-07-14 |
| 1497379887 | Marissa L Moore | Counselor | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| 1114541562 | Kristy Byrd | Social Worker | 103 2nd Ave, Chesapeake, OH 45619-1134 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644432 | Bridge Pt, LLC | Clinic/Center | 3748 Sr-7, Optional, Chesapeake, OH 45619 | 2020-03-17 |
| 1881183218 | Thomas D Freeze | Case Manager/Care Coordinator | 95 Pvt Dr. 6999 Cr 15, Chesapeake, OH 45619 | 2018-05-01 |
| 1124550892 | Jeremy Ray Knipp | Case Manager/Care Coordinator | 95 Private Drive 6999 # 15, Chesapeake, OH 45619 | 2017-03-31 |
| 1821297292 | Carolyn Sue Mantey | Registered Nurse | 7543 County Road 15, Chesapeake, OH 45619 | 2007-07-16 |
| 1164634085 | Home Sweet Home | Assisted Living Facility | 304 3rd Ave, Chesapeake, OH 45619 | 2007-05-04 |
| 1013138288 | Home Sweet Home | Assisted Living Facility | 302 3rd Ave, Chesapeake, OH 45619 | 2007-05-02 |
| 1427574326 | Rosie Gene Russell | Counselor | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2017-08-22 |
| 1346735230 | Sean Beckett | Case Manager/Care Coordinator | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2018-06-25 |
| 1437656725 | Jason Burgard | Case Manager/Care Coordinator | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2018-04-12 |
| 1013029834 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 517 3rd Ave, Chesapeake, OH 45619-1036 | 2006-08-31 |
| Find all providers in zip 45619 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949210 | Brian Jones | Counselor | 3322 Western Branch Blvd, Chesapeake, VA 23321-5142 | 2020-07-16 |
| 1235779588 | Cynthia Dupree | Counselor | 1145 Commerce Ave, Chesapeake, VA 23324 | 2020-01-14 |
| 1184197915 | Heather Kelly Arnett | Counselor | 516 Innovation Dr Ste 102, Chesapeake, VA 23320-3866 | 2019-01-03 |
| 1508338518 | Deleshia Williams | Counselor | 732 Eden Way N # 185, Chesapeake, VA 23320-2798 | 2019-01-02 |
| 1811409980 | Johnathan Beckett | Counselor | 1546 County Road 31, Chesapeake, OH 45619-8073 | 2017-10-30 |
| 1427574326 | Rosie Gene Russell | Counselor | 421 Riverside Dr, Chesapeake, OH 45619-1020 | 2017-08-22 |
| 1811395726 | Lighthouse Therapeutic Services | Counselor | 808 Eden Way N Ste 100, Chesapeake, VA 23320-0745 | 2014-12-09 |
| 1619202579 | Donald James Gentilini | Counselor | 600 Herron Dr, Chesapeake, VA 23320-2972 | 2009-10-12 |
| 1992888374 | Innervisions Counseling Inc. | Counselor | 1015 Eden Way N Ste D, Chesapeake, VA 23320-2787 | 2006-10-22 |
| 1164535654 | Taquisa Katina Simmons | Counselor | 212 Research Dr, Suite 102, Chesapeake, VA 23320-5984 | 2006-08-17 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 45619 |
Please comment or provide details below to improve the information on PATRICK C KELLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.