Kelsey Lyn Custer

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1738 Rose LN
San Jacinto, CA 92583-5120

Phone

(760) 271-0883

NPI assigned

Jul 30, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Hampton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1215810791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 ROSE LN",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835120",
            "telephone_number": "760-271-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ROSE LN",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835120",
            "telephone_number": "760-271-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "KELSEY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "HAMPTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rita Crumrine, MFT
• Jeremy Cruz
• Maryclaire Cunningham, LCSW
• Shanai A Curtis
• Howard Curtner
• Caroline Ferrer Dale, MD
• Ly Pham Dang, PHARM.D
• Sara Joelynn Danley, MS, AMFT, APCC
• Krysann Dao
• Dap Health, Inc.

• Community/Behavioral Health Agency in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.