Individual provider · Type 1 NPI

Jonathan Randall Kelly

Peer Specialist · Cincinnati, OH

NPI number 1740148212 Active

Practice location

1526 Wittlou Ave
Cincinnati, OH 45224-2155

Call (513) 808-2229 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.007350 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X196082 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1740148212

Jonathan Randall Kelly's National Provider Identifier is 1740148212, issued on Jan 13, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cincinnati, OH. The record was last updated on May 14, 2026.