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

Jerri Kelley

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871029710

Jerri Kelley is a Mental Health Counselor in Newark, Ohio. Qualified in 2014, 12 years ago. Practices with Lighthouse Behavioral Health Solutions, LLC, a 14-clinician group and works from 2 locations. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2017
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Practice location Address checks out

30 S 4th St
Newark, OH 43055-5002
Phone: (380) 201-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 62 E Stevens St, Newark, OH 43055-5969 — (740) 366-7303

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LICDC.161703 (OH)

Record details

NPI number1871029710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMarch 17, 2024
Certification dateMarch 17, 2024
Mailing address62 E Stevens St, Newark, OH 43055-5969

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lighthouse Behavioral Health Solutions, Llc — 14 clinicians
Accepts Medicare assignment Not indicated

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