Jerri Kelley
Addiction (Substance Use Disorder) Counselor · Newark, OH
Jerri Kelley is an addiction (substance use disorder) counselor with a practice address in Newark, Ohio, and NPI 1871029710, issued on May 11, 2017. Check the license (Ohio LICDC.161703, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jerri Kelley
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License number
- LICDC.161703 OH
Self-reported in NPPES; status is on the state search - Practice location
- 30 S 4TH St, Newark, OH 43055
- Phone
- (380) 201-1313
- Enumerated
- May 11, 2017
- Record last updated
- Mar 17, 2024
- Medicare enrollment
- Enrolled (PECOS I20240822003672); may accept Medicare assignment
- Entity
- Type 1 · individual
Also registered at 30 S 4TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kiara Bullock, RNRegistered Nurse1073499844
- Amy CampCase Manager/Care Coordinator1477268076
- Laura ChurchBehavior Technician1235837964
- Shelley DeluciaAddiction (Substance Use Disorder) Counselor1518715432
- Selena GroomsCase Manager/Care Coordinator1124581160
- Joel IsaacsonPeer Specialist1821707357
Verify Jerri Kelley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license LICDC.161703Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lighthouse Behavioral Health Solutions, LLCColumbus, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
65 addiction (substance use disorder) counselor records list a practice address in Newark
They are 65 of the 1,642 NPPES records with a practice address in Newark, and 11,255 addiction (substance use disorder) counselor records in Ohio.
All 65 in Newark → All 11,255 in Ohio → Every provider in Newark →
Other addiction (substance use disorder) counselor records in Ohio
- Cheyenne AbbottMount Orab, OH1356096648
- Jane Abdella, LCDCIIAthens, OH1407352818
- Amina Abdi, CDCAGalloway, OH1760211817
- Aminah Abdulhaqq, CDCDCleveland, OH1467837211
- Mouyad Abduljabar, CDCACleveland, OH1700377678
- Fareed Abdullah, LSWAkron, OH1508304486
- Carolyn Abel, CDCACanton, OH1558204909
- Myranda AbnerDayton, OH1487229076
- Jennifer AbrahamDublin, OH1841135167
- Alexandra Abrams, QMHS-BA/CDCA-BAMarion, OH1326506692
Common questions
What is Jerri Kelley's NPI number?
Jerri Kelley's National Provider Identifier (NPI) is 1871029710, issued on May 11, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Jerri Kelley located?
The NPPES record lists a practice address at 30 S 4TH St, Newark, OH, 43055. Phone: (380) 201-1313. Providers update this record themselves, so call before visiting.
How can I verify Jerri Kelley's license?
NPPES lists Ohio license number LICDC.161703, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.