KELLY MCGREAL (NPI# 1013565167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013565167 |
| Entity Type | Individual |
| Full Name | KELLY MCGREAL |
| Practice Address |
14025 Sw Farmington Rd Ste 160 Beaverton OR 97005-2512 |
| Mailing Address |
11035 Ne Sandy Blvd Portland OR 97220-2553 |
| Practice Telephone | 5032584495 |
| Mailing Telephone | 5032584200 |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
14025 SW FARMINGTON RD STE 160 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815811 | Kristen Heather Marcaly | Psychologist | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005 | 2009-08-06 |
| 1184261935 | Lizzet Del Carmen Cervantes Pantoja | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-11-27 |
| 1942852470 | Anna Justine Bauer | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-07-15 |
| 1962060129 | Rebecca Witowski | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-06-03 |
| 1023578242 | Elissa Shinseki | Counselor | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2019-03-22 |
| 1982040283 | Kimberly Alexandra Romo | Marriage & Family Therapist | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2013-05-14 |
| 1609165125 | Lyndsey Hromatka | Social Worker | 14025 Sw Farmington Rd Ste 160, Beaverton, OR 97005-2512 | 2011-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073142634 | Sandra Rose Wells | Counselor | 5390 Sw Dominie Ct, Beaverton, OR 97078-2897 | 2020-04-06 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1366775504 | Susan V. Reyes-torres | Counselor | 6200 Sw Arctic Dr, Beaverton, OR 97005-9447 | 2009-09-04 |
| 1255571352 | Carlee Michelle Gehrke | Counselor | 15282 Sw Teal Blvd, Beaverton, OR 97007-8129 | 2009-03-02 |
| 1881833374 | Agora Corporation | Counselor | 9690 Sw Sandstone Pl, Beaverton, OR 97007-8104 | 2009-02-06 |
| 1285808055 | Robert Finkelman | Counselor | 4905 Sw Griffith Dr, Suite 201, Beaverton, OR 97005-8724 | 2008-04-14 |
| 1134276371 | Arlene Lynn Krager | Counselor | 201 S Ross St, Beaverton, MI 48612-8113 | 2007-01-03 |
| 1083718076 | Kristin Lee Lougee | Counselor | 15930 Nw Foxborough Cir, Beaverton, OR 97006-6358 | 2006-09-11 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.