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

Jeremy John Kelly

Individual provider Counselor · NPI 1295696714

Jeremy John Kelly is a Counselor in Rochester, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1100 Long Pond Rd Ste 222
Rochester, NY 14626-1177
Phone: (585) 385-6030
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 130139 (NY)

Record details

NPI number1295696714
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESJanuary 4, 2026
Certification dateJanuary 4, 2026

Other providers in Rochester