Active NPI
Jay Daniel Kelley, LPC LCDC
- Professional Counselor
- Houston, TX
National Provider Identifier
1649356395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10634
- Practice address
- 11600 Jones Rd
#108 10
Houston, TX 77095 - Phone
- (281) 587-5333
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1219 | TX | |
| Professional Counselor | 101YP2500X | 10634 | TX | Primary |
Addresses
Primary practice location
11600 Jones Rd
#108 10
Houston, TX 77095
Mailing address
8440 Easton Commons
#1404
Houston, TX 77095
Phone (281) 587-5333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | TX | MD | Specialist |
| 10634 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1649356395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 EASTON COMMONS",
"address_2": "#1404",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77095",
"telephone_number": "281-587-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 JONES RD",
"address_2": "#108 10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77095",
"telephone_number": "281-587-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JAY",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "LPC LCDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "1219",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "10634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.