Jeremy John Kelly is a Counselor practicing in Rochester, New York. The National Provider Identifier (NPI) is #1295696714, which was assigned on November 24, 2025, and the registration record was last updated on January 4, 2026. The practitioner's main practice location is at 1100 Long Pond Rd Ste 222, Rochester, NY 14626-1177; the contact telephone number is 5853856030. The primary taxonomy of Jeremy John Kelly is Counselor (101Y00000X). Jeremy John Kelly is licensed to practice in the state of New York (#130139).
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.
| NPI | 1295696714 |
| Entity Type | Individual |
| Provider Name | JEREMY JOHN KELLY |
| Gender | Male |
| Practice Address |
1100 Long Pond Rd Ste 222 Rochester NY 14626-1177 |
| Practice Telephone | 5853856030 |
| Mailing Address |
1100 Long Pond Rd Ste 222 Rochester NY 14626-1177 |
| Mailing Telephone | 5853856030 |
| Certification Date | 2026-01-04 |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2026-01-04 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 130139 | NY |
| Code | 101Y00000X |
| Taxonomy | Counselor |
| Classification | Counselor |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
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| Gavin William Boylan | 335 N Alma School Rd, Chandler, AZ 85224-4363 | Counselor | 2026-04-10 |
| Gabrielle Rose Mirka | 32713 Walker Rd, Avon Lake, OH 44012-2232 | Counselor | 2026-04-11 |
| Samantha Teresa Clay | 2212 S Jackson St, Seattle, WA 98144-2591 | Counselor | 2026-04-10 |
| Alexis Nusser | 501 Colliers Way, Weirton, WV 26062-5003 | Counselor | 2026-04-10 |
| Alissa Marie Loomis | 5171 S Cub Lake Rd, Show Low, AZ 85901-7888 | Counselor | 2026-04-09 |
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| Street Address |
1100 LONG POND RD STE 222 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-1177 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Debra Wallace | 1100 Long Pond Rd, Greece, NY 14626-1177 | Social Worker | 2025-09-27 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jessica Scibelli | 2089 Maiden Ln, Rochester, NY 14626-1246 | Student in an Organized Health Care Education/Training Program | 2019-08-09 |
| Bainbridge LLC | 1161 N Greece Rd Unit 6, Rochester, NY 14626-1023 | Hearing Aid Equipment | 2007-05-14 |
| David Morris | 1172 Long Pond Rd, Rochester, NY 14626-1136 | Physical Therapist | 2017-08-21 |
| Tyronda Laquincy Howard | 185 Dorian Ln, Rochester, NY 14626-1907 | Registered Nurse | 2024-10-12 |
| Buffalo Wheelchair, Inc. | 2844 W Ridge Rd, Greece, NY 14626-1639 | Oxygen Equipment & Supplies (DME) | 2016-10-06 |
| Sparrow Counseling Services, Lcsw, PLLC | 70 Grecian Pkwy, Rochester, NY 14626-1938 | Clinical Social Worker | 2026-04-10 |
| Erin Elizabeth Oliva | 888 Long Pond Rd Ste 4, Rochester, NY 14626-1111 | Speech-Language Pathologist | 2018-05-22 |
| Katelynn J Lewis · Katelynn J Smith | 2655 Ridgeway Ave Ste 420, Rochester, NY 14626 | Family Nurse Practitioner | 2018-01-18 |
| Kamar Anton Williams | 1711 Fetzner Rd, Rochester, NY 14626-1858 | Gerontology Nurse Practitioner | 2025-10-14 |
| Strong Roots Pediatric Speech Therapy Wellness PLLC | 888 Long Pond Rd Ste 4, Rochester, NY 14626-1111 | Pediatric Physical Therapist | 2025-10-02 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jeremy John Abdul-Haqq | 4 Springhurst Dr, East Greenbush, NY 12061-2233 | Orthodontics and Dentofacial Orthopedic Dentist | 2016-02-16 |
| John Bryan Kelly Moreno | Edificio A, 917 Av. Tito Castro Piso 4, Ponce, PR 00732 | Student in an Organized Health Care Education/Training Program | 2025-08-27 |
| John B Kelly | 3505 E Meridian Park Loop Ste 100, Wasilla, AK 99654-7242 | Neurology Physician | 2005-07-21 |
| Kelly Ditrapani · Kelly Elizabeth Moore | 725 Welch Rd, Palo Alto, CA 94304-1601 | Nurse Practitioner | 2025-06-13 |
| John Joseph Kelly Iv | 200 1st St Sw, Rochester, MN 55905-0002 | Sports Medicine (Orthopaedic Surgery) Physician | 2020-03-27 |
| Kelly Nicole Mcintire · Kelly Melanson | 3 Nashua Rd, Bedford, NH 03110-5515 | Family Nurse Practitioner | 2022-08-18 |
| Gavin Jeremy Lau | 710 Chestnut Ln, Easton, PA 18045-5124 | Professional Counselor | 2025-12-02 |
| Jeremy High Rowland | 2721 W 6th St Ste B, Lawrence, KS 66049-4302 | Addiction (Substance Use Disorder) Counselor | 2014-10-17 |
| Jeremy A Kelly | 331 E Main St Ste 2000, Rock Hill, SC 29730-5383 | Behavior Technician | 2025-08-29 |
| Kelly Christine Hubert · Kelly Falls | 749 University Row Ste 200, Madison, WI 53705-1465 | Student in an Organized Health Care Education/Training Program | 2026-04-08 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |