MRS. JESSICA KELLEY (NPI# 1063816726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063816726 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA KELLEY |
| Other Name | MS. JESSICA NOVETSKE |
| Credential | M.A, LLPC |
| Practice Address |
720 Wayne St Traverse City MI 49684-1493 |
| Mailing Address |
837 Fern St Unit B Traverse City MI 49686-3409 |
| Practice Telephone | 2317144532 |
| Mailing Telephone | 5175881136 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401014387 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366944910 | Jessica Rhyan Kelley | Pharmacist | 1207 Mount Vernon Rd, Fort Lawn, SC 29714-8696 | 2018-02-28 |
| 1821502055 | Jessica Kelley | Nutritionist | 65 Oliver St, Rockland, ME 04841-2226 | 2017-11-27 |
| 1154676930 | Jessica Hart Kelley | Physical Therapist | 6404 Rolling Hill Rd, The Colony, TX 75056-3736 | 2012-07-18 |
| 1750533105 | Jessica Eve Kelley | Counselor | 10455 Franklin Ln, Wilmer, AL 36587-9336 | 2008-10-16 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1508474008 | Jessica Kelley | Case Manager/Care Coordinator | 405 E. Excelsior, Vinita, OK 74301-4226 | 2020-07-21 |
| 1114409810 | Jessica R Kelley | Physical Therapy Assistant | 411 Alabama Ave, League City, TX 77573-2615 | 2018-08-30 |
| 1740712777 | Jessica Kelley | Registered Nurse | 660 Woodbury Glassboro Rd Ste 26, Sewell, NJ 08080-3738 | 2017-03-29 |
| 1922551324 | Jessica Kelley | Nurse Practitioner | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2016-08-02 |
| 1780039990 | Jessica Kelley | Family Medicine | 700a Progress Pl, Laurinburg, NC 28352-5545 | 2016-04-26 |
| Street Address |
720 WAYNE ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790429 | Jules Shellby | Counselor | 812 S Garfield Ave Ste J, Traverse City, MI 49686-3456 | 2018-11-29 |
| 1235614363 | Margaret Jean Fedder | Counselor | 13561 S West Bay Shore Dr Ste 306, Traverse City, MI 49684-6292 | 2018-09-25 |
| 1508373978 | Jacqueline Marie Conger | Counselor | 13561 S West Bay Shore Dr Ste 204, Traverse City, MI 49684-6292 | 2018-01-06 |
| 1679089072 | Lindsay Sea Wills | Counselor | 810 Cottageview Dr Ste 102, Traverse City, MI 49684-2392 | 2017-12-20 |
| 1245779362 | Erika L Spaulding | Counselor | 4407 N Long Lake Rd, Traverse City, MI 49684-9798 | 2017-02-22 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1154778603 | Troy A Elenbaas | Counselor | 12720 S West Bay Shore Dr, Traverse City, MI 49684-5451 | 2016-05-14 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1316356074 | Nicole Devol | Counselor | 3642 Orchard Vw, Traverse City, MI 49684-8940 | 2014-08-07 |
| 1003245564 | Kimberly Manrique | Counselor | 5798 Deer Trail Dr, Traverse City, MI 49684-8479 | 2013-11-05 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on MRS. JESSICA 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.