KELLY JANE YOUNG (CRADC) – Substance Use Disorder Rehabilitation Clinic/Center, NPI 1104588177

KELLY JANE YOUNG (CRADC) is a healthcare provider. based in Joplin, Missouri. specializing in Substance Use Disorder Rehabilitation Clinic/Center. They hold the professional credentials CRADC. They hold a License No. 4486 (MO). The NPI Number for KELLY JANE YOUNG (CRADC) is 1104588177

Main info

Female
Sole Proprietor
Name
KELLY JANE YOUNG (CRADC)
NPI
1104588177
Phone
(417) 553-0043
Address
501 S PENNSYLVANIA AVE
Enumeration Date
7 October 2021
Last Update Date
7 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:4State licenses:3Digital endpointsOther names

Provider Addresses for KELLY JANE YOUNG (CRADC)

  • 501 S PENNSYLVANIA AVE

    JOPLIN, MO 648012286

    Phone: (417) 553-0043

    Fax: (417) 553-0081

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64801)

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Frequently asked questions

Is KELLY JANE YOUNG (CRADC) listed with a National Provider Identifier?
Yes — KELLY JANE YOUNG (CRADC) has NPI 1104588177 on file in the registry.
Is KELLY JANE YOUNG (CRADC) still an active registrant?
KELLY JANE YOUNG (CRADC) carries an active NPI according to the public dataset.
What clinical focus is listed for KELLY JANE YOUNG (CRADC)?
At a glance, KELLY JANE YOUNG (CRADC) is tied to Substance Use Disorder Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Missouri is KELLY JANE YOUNG (CRADC) registered?
Use Joplin, Missouri as the headline location for KELLY JANE YOUNG (CRADC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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