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

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

Practice location Address checks out

30 S 4th St
Newark, OH 43055-5002
Phone: (380) 201-1313
Show map & directions

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

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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