Active NPI
Jonathan Randall Kelly
- Peer Specialist
- Cincinnati, OH
National Provider Identifier
1740148212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.007350
- Practice address
- 1526 Wittlou Ave
Cincinnati, OH 45224-2155 - Phone
- (513) 808-2229
- NPI assigned
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.007350 | OH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 196082 | OH |
Addresses
Primary practice location
1526 Wittlou Ave
Cincinnati, OH 45224-2155
Mailing address
1526 Wittlou Ave
Cincinnati, OH 45224-2155
Phone (513) 808-2229
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 |
|---|---|---|---|
| 196082 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| APS.007350 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1740148212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 WITTLOU AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452242155",
"telephone_number": "513-808-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 WITTLOU AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452242155",
"telephone_number": "513-808-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JONATHAN",
"middle_name": "RANDALL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-13",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.007350",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "196082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.