Chelsey Paige Kelly

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-24-15647 Issued in AL

Practice address

112 N Three Notch St
Troy, AL 36081-2010

Phone

(334) 792-5020

NPI assigned

Aug 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1760119291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N THREE NOTCH ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N THREE NOTCH ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812010",
            "telephone_number": "334-792-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHELSEY",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "AL",
            "license": "0-24-15647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22-228026",
            "identifier": "22-228026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Grace Jones
• Stacey Jones
• Tracy Jones, MS; ALC
• Rhoida Kabelele
• Aaron Blake Kelly
• Joseph Edward Kelly, RPH
• Renie Kennedy
• Keystone Hospitalist Services of Alabama, Inc.
• Keystone Medical Services of Alabama, Inc.
• Lauren D. Kilcrease, RN, FNP-BC

• All providers in Troy, AL
• Assistant Behavior Analyst in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.