JENNIFER KELLEY (NPI# 1033666730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033666730 |
| Entity Type | Individual |
| Full Name | JENNIFER KELLEY |
| Other Name | JENNIFER HALL |
| Practice Address |
712 N 8th St Carlton OR 97111-1233 |
| Practice Telephone | 5038499661 |
| Mailing Telephone | 5038499661 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052136 | Jennifer Marie Kelley | Nurse Practitioner | 801 Forest Lake Dr, Lexington, KY 40515-6299 | 2020-08-05 |
| 1215405659 | Jennifer Kelley | Student in an Organized Health Care Education/Training Program | 1811 S Black Ave Apt B, Bozeman, MT 59715-5768 | 2018-11-03 |
| 1649789264 | Jennifer Kelley | Counselor | 1507 Riverside Ave Ste 202, Fort Collins, CO 80524-4382 | 2017-09-26 |
| 1104359876 | Jennifer Elizabeth Kelley | Family Medicine | 2200 Fowler Grove Blvd Ste 140, Winter Garden, FL 34787-5597 | 2017-04-09 |
| 1043618382 | Jennifer Nicole Kelley | Specialist/Technologist | 520 Lizzie Pl E, West Fargo, ND 58078-8500 | 2014-12-19 |
| 1922244920 | Jennifer Lynn Kelley | Counselor | 414 Calvert Rd, Stevensville, MD 21666-2620 | 2008-12-21 |
| 1750407433 | Jennifer Emily Kelley | Occupational Therapy Assistant | 425 Phillips Hill Rd, Coventry, RI 02816-4841 | 2007-03-22 |
| 1104975101 | Jennifer Danelle Kelley | Counselor | 1114 Pacific Ave, 3rd Floor, Everett, WA 98201-4231 | 2007-01-09 |
| 1174563019 | Jennifer Lynn Kelley | Advanced Practice Midwife | 4200 Whitehall Dr Ste 350, Ann Arbor, MI 48105-9694 | 2006-06-08 |
| 1659939205 | Jennifer Ann Kelley | Social Worker | 621 S Monroe St, Monroe, MI 48161-1440 | 2019-05-30 |
| Street Address |
712 N 8TH ST |
| City | CARLTON |
| State | OR |
| Zip Code | 97111-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922480656 | Tia J Baxter | Massage Therapist | 500 N Gilwood St, Carlton, OR 97111 | 2015-06-18 |
| 1295031870 | Carlton Dental | Dentist | 133 E. Main St., Carlton, OR 97111 | 2011-01-31 |
| 1518966423 | Mark A. Miller | Dentist | 133 E Main, Carlton, OR 97111 | 2005-07-21 |
| 1134573843 | Jacqueline Gambee | Dentist | 133 E Main St, Carlton, OR 97111 | 2016-04-19 |
| 1275912560 | Carlton Dental, LLC | Dentist | 133 E Main St, Carlton, OR 97111 | 2015-05-20 |
| 1568587194 | Jeremiah W Cook | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-0610 | 2007-03-20 |
| 1801155320 | Nichole Alexandria Pilakowski | Veterinarian | 230 S Pine St, Carlton, OR 97111-1169 | 2012-05-04 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| 1346507746 | Verdura Family Wellness, Inc | Clinic/Center | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-23 |
| 1043577869 | Verdura Family Wellness, Inc | Family Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-18 |
| Find all providers in zip 97111 | ||||
| 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 |
|---|---|---|---|---|
| 1104427160 | Kristine Lee Jones | Counselor | 2628 Se 87th Ave, Portland, OR 97266-1530 | 2020-11-05 |
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1619575354 | Erica Cross | Counselor | 2650 Suzanne Way Ste 120, Eugene, OR 97408-7619 | 2020-10-14 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1932711322 | Rachel Wilson | Counselor | 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 | 2020-08-18 |
| 1205447851 | Connect Restore Thrive Counseling Group | Counselor | 3845 Scotts Valley Dr, Klamath Falls, OR 97601-9395 | 2020-08-16 |
| 1285243121 | Becky Winters Counseling, LLC | Counselor | 2622 Sw Glacier Pl Ste 140, Redmond, OR 97756-7866 | 2020-07-27 |
| 1720606999 | Kenya Amos | Counselor | 8765 Sw Illahee Ct Apt 102, Wilsonville, OR 97070-8487 | 2020-07-13 |
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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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.