Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Michael Shelley, CDCA/CPRS

Individual provider Peer Specialist · NPI 1265132211

Jacob Michael Shelley, CDCA/CPRS is a Peer Specialist in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

343 Troy St
Dayton, OH 45404-1830
Phone: (937) 949-1524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.003608 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.187249 (OH)

Record details

NPI number1265132211
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA/CPRS
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address343 Troy St, Dayton, OH 45404-1830

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