Individual provider · Type 1 NPI

Jeremy John Kelly

Counselor · Rochester, NY

NPI number 1295696714 Active

Practice location

1100 Long Pond Rd Ste 222
Rochester, NY 14626-1177

Call (585) 385-6030 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X130139 (NY)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1295696714

Jeremy John Kelly's National Provider Identifier is 1295696714, issued on Nov 24, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rochester, NY. The record was last updated on Jan 4, 2026.