Active NPI
Madelyn Vone'E Kelly
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1003792474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 170 9TH St
San Francisco, CA 94103-2603 - Phone
- (415) 329-2005
- NPI assigned
- Aug 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Community Health Worker | 172V00000X |
Addresses
Primary practice location
170 9TH St
San Francisco, CA 94103-2603
Mailing address
1156 Valencia St
San Francisco, CA 94110-3027
Phone (415) 329-2005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baker Places, Inc | Current | Accepting new patients |
Locations
170 9th St
San Francisco, CA 94103
Phone (415) 255-6544
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1003792474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 VALENCIA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103027",
"telephone_number": "415-329-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 9TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032603",
"telephone_number": "415-329-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MADELYN",
"middle_name": "VONE'E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-12",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.