NPIMap

Organization Active NPI

Kelley Counseling Licensed Clinical Social Worker Inc

Doing business as Kelley Counseling Services

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1275357816
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELLEY COUNSELING LICENSED CLINICAL SOCIAL WORKER INC
Doing business as
Kelley Counseling Services
Practice address
41690 Enterprise Cir N Ste 230
Temecula, CA 92590-5660
Phone
(360) 449-2505
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Michelle KelleyNPI 1831423847
Title
President
Phone
(951) 387-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

41690 Enterprise Cir N Ste 230
Temecula, CA 92590-5660

Mailing address

30435 Moonlight CT
Temecula, CA 92591-7346
Phone (360) 449-2505

Other names 2

  • Kelley Counseling Services Doing business as
  • Michelle Kelley, LCSW Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1275357816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30435 MOONLIGHT CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925917346",
            "telephone_number": "360-449-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41690 ENTERPRISE CIR N STE 230",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905660",
            "telephone_number": "360-449-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY COUNSELING LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-387-6808"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelley Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michelle Kelley, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.