THOMAS EUGENE KELLEY III (NPI# 1467585299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467585299 |
| Entity Type | Individual |
| Full Name | THOMAS EUGENE KELLEY III |
| Credential | MA |
| Practice Address |
2507 Christie Drive Lake Oswego OR 98034 |
| Mailing Address |
7800 Sw Capitol Hill Rd Portland OR 97219-2686 |
| Practice Telephone | 5036353416 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790037794 | Thomas Leo Kelley | Marriage & Family Therapist | 2947 Thinnes St, Cross Plains, WI 53528-9540 | 2012-10-15 |
| 1659534881 | Thomas Joseph Kelley | Psychiatry & Neurology | 5139 Washington St, Butte Des Morts, WI 54927-9327 | 2008-07-08 |
| 1770572828 | Thomas Christopher Kelley | Dentist | 150 S Calhoun Rd, Brookfield, WI 53005-6303 | 2005-10-20 |
| 1306833082 | Thomas Reynolds Kelley | Family Medicine | 931 N Sr 434 Ste 1275, Altamonte Springs, FL 32714-7057 | 2005-09-29 |
| 1639770795 | Thomas David Kelley | Pharmacist | 990 W Emmitt Ave, Waverly, OH 45690-1095 | 2020-11-05 |
| 1154736437 | Thomas Kelley | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, General Surgery Ddeamc, Augusta, GA 30905 | 2014-06-25 |
| 1417246265 | Thomas Kelley | Registered Nurse | 780 Albany St, Boston, MA 02118-2524 | 2011-04-01 |
| 1831496025 | Thomas E Kelley | Pharmacist | 2539 W Whitner St, Anderson, SC 29624-1146 | 2011-02-24 |
| 1831494541 | Thomas M Kelley | Registered Nurse | 2868 Acton Road, Birmingham, AL 35243 | 2011-01-12 |
| 1528100419 | Thomas R Kelley | Optometrist | 5800 Peach St, Erie, PA 16565-1601 | 2007-02-13 |
| Street Address |
2507 CHRISTIE DRIVE |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 98034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235277807 | Kandi Denise Shearer | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2007-02-03 |
| 1376141622 | Graciela Salamanca | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-10-09 |
| 1710597489 | Adrian Bernard Echols | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-08-06 |
| 1205446002 | Ada Allaire | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-08-06 |
| 1114537917 | Jessica Lynn Blodgett | Counselor | 2507 Christie Drive, Lake Oswego, OR 97225 | 2020-08-06 |
| 1740808278 | Issa Liley Ubidia-luckett | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-07-10 |
| 1477178911 | Larissa Harper | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-06-10 |
| 1922633262 | Novah L Ali-el | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-03-06 |
| 1831724178 | Devon Martinez | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-03-06 |
| 1144867110 | Jenna Hadeed | Counselor | 2507 Christie Drive, Lake Oswego, OR 97035 | 2019-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679100648 | Azhar Sultanova | Marriage & Family Therapist | 293 Cervantes, Lake Oswego, OR 97035-1207 | 2020-03-26 |
| 1881179141 | Zanita Bohea Zody | Marriage & Family Therapist | 415 N State St, Lake Oswego, OR 97034-3240 | 2018-10-02 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1992258586 | Alanna Lynem | Marriage & Family Therapist | 17501 Cardinal Dr, Lake Oswego, OR 97034-6631 | 2016-07-29 |
| 1609993575 | Patricia Ann Crosthwait | Marriage & Family Therapist | 47 Ladd St, Lake Oswego, OR 97034-3853 | 2007-03-23 |
| 1881719482 | Samantha Ju Young Nam | Marriage & Family Therapist | 14523 Westlake Dr Ste 15, Lake Oswego, OR 97035-7700 | 2007-03-20 |
| 1831563212 | Rachel Hnizdil | Marriage & Family Therapist | 15100 Boones Ferry Rd, Suite 800b, Lake Oswego, OR 97035-3469 | 2015-11-22 |
| 1538398367 | Lindsay Donner Mcgrath | Marriage & Family Therapist | 14511 Westlake Dr, Lake Oswego, OR 97035-7783 | 2009-07-14 |
| 1477723757 | Joseph Charles Schutte | Marriage & Family Therapist | 16780 Bryant Rd, Lake Oswego, OR 97035-5572 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382168 | Aja Meadows | Marriage & Family Therapist | 3783 Westleigh St, Eugene, OR 97405-1137 | 2020-09-28 |
| 1902410012 | High Vibe Society | Marriage & Family Therapist | 1582 Santiam Ave, Eugene, OR 97408-6004 | 2020-09-04 |
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1376152967 | Mahvash Azadegan | Marriage & Family Therapist | 16940 Sw Kattegat Dr, Beaverton, OR 97006-8953 | 2020-07-29 |
| 1558979559 | Took Smoot | Marriage & Family Therapist | 7427 Sw Coho Ct Ste 200no5, Tualatin, OR 97062-8618 | 2020-07-16 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1700402070 | Devan Larsen | Marriage & Family Therapist | 20526 Mutt Ct, Bend, OR 97701-7935 | 2020-06-22 |
| 1346863677 | Dan Thomas Schmitt | Marriage & Family Therapist | 541 Willamette St Ste 301, Eugene, OR 97401-2692 | 2020-05-21 |
| 1992324909 | E. Kirsten Hughes, Lmft, LLC | Marriage & Family Therapist | 1991 Garden Ave, Eugene, OR 97403-1934 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 98034 |
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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.