PATRICK KEVIN KELLY NPI 1013783059

NPI Information

  • NPI: 1013783059
  • Provider Name: PATRICK KEVIN KELLY
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 24953 PASEO DE VALENCIA BUILDING B SUIT 1B
    LAGUNA HILLS, CA
    ZIP 92653
  • Phone: (949) 540-0170

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NPI Details

Patrick Kevin Kelly is an addiction (substance use disorder) counselor in Laguna Hills, CA. Patrick Kevin Kelly NPI is 1013783059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24953 PASEO DE VALENCIA BUILDING B SUIT 1B
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 540-0170
Fax: (949) 540-0173

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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