Jerome David Kelley

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

160692 Issued in CA

Practice address

1616 W Shaw Ave Ste D1
Fresno, CA 93711-3513

Phone

(559) 202-3615

NPI assigned

Mar 11, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1619824489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 E REDLANDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937379243",
            "telephone_number": "559-202-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W SHAW AVE STE D1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113513",
            "telephone_number": "559-202-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JEROME",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "160692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Luann Keller
• Dawn Elaine Keller, LMFT
• Gina Marie Keller, LMFT
• Nichole Benkula Keller
• Susan Lynn Keller, CRNA
• William Patrick Kelley Jr., D.O.
• Erica Kellison
• Kellogg and Grant Dental Corporation
• Rodney James Kellogg, DDS
• Brenna Jean Kelly

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.