National Provider Identifier

Jamie Kelly

Jamie Kelly is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Kenmore, NY and a listed phone number of (716) 217-0010.

NPI 1477038685Kenmore, NYMental Health Counselor

Profile Overview

NPI
1477038685
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 03, 2018
Last Updated
August 06, 2025

Practice Location

  • 1129 Kenmore Ave
  • Kenmore, NY 14217-2845

Phone: (716) 217-0010

Specialties

  • Mental Health Counselor (101YM0800X)
  • Counselor (101Y00000X)
Full Record
NPI
1477038685
Entity Type
Individual
Last Name
Kelly
First Name
Jamie
Mailing Street Address
1129 Kenmore Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2845
Mailing Country
US
Mailing Phone
(716) 217-0010
Practice Street Address
1129 Kenmore Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2845
Practice Country
US
Practice Phone
(716) 217-0010
Enumeration Date
October 03, 2018
Last Updated
August 06, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 06, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Counselor (101Y00000X)