ANGELA DIANE KELLY (NPI# 1568956373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568956373 |
| Entity Type | Individual |
| Full Name | ANGELA DIANE KELLY |
| Other Name | ANGELA DIANE GARDNER |
| Credential | CRM, CACD CANADETE |
| Practice Address |
306 Sw 8th St Corvallis OR 97333-4543 |
| Practice Telephone | 5417532230 |
| Mailing Telephone | 5417532230 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
T-18-149 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276485 | Angela Wilson Kelly | Counselor | 907 Haviland Dr, Vestavia Hills, AL 35216-2330 | 2019-10-09 |
| 1992115547 | Angela Kelly | Custodial Care Facility | 720 Valley Forge Rd, Jacksonville, FL 32208-3566 | 2014-05-05 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1205899358 | Angela Dawn Kelly | Chiropractor | 4329 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-10 |
| 1366963514 | Angela Dawn Kelly | Pharmacist | 555 W Marion Rd, Mount Gilead, OH 43338-1025 | 2017-06-28 |
| 1699015248 | Angela Elena Kelly | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2013-02-19 |
| 1497015143 | Angela K Kelly | Social Worker | 822 Washington St, Montpelier, ID 83254-1423 | 2012-05-28 |
| 1962732784 | Angela Kelly | Community Health Worker | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2009-12-29 |
| 1851444392 | Angela M Kelly | Speech-Language Pathologist | 17929 Gottschalk Ave, Homewood, IL 60430-1709 | 2007-01-19 |
| 1174671689 | Angela J. Kelly | Nurse Anesthetist, Certified Registered | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-01-08 |
| Street Address |
306 SW 8TH ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073653168 | Family Recovery Non-profit, Inc. | Substance Abuse Rehabilitation Facility | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2007-02-07 |
| 1033652565 | Nick M. Todorovich | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2016-12-01 |
| 1750741971 | Sirena Stahl | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2016-03-01 |
| 1790145928 | Jaclyn Leigh Salcido Giles | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2016-03-01 |
| 1902266133 | Nick Lowrey | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2016-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356857858 | Trisha Lorraine Cunningham | Counselor | 628 Nw 2nd St, Corvallis, OR 97330-6446 | 2017-12-19 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1982055299 | Drew Silverman | Counselor | 5055 Ne Elliott Cir, Suite 80, Corvallis, OR 97330-9008 | 2016-06-28 |
| 1225429723 | Robert B Merwin Jr. | Counselor | 129 Nw 4th St Ste 100, Corvallis, OR 97330-4770 | 2015-02-05 |
| 1376853754 | Hilary Robin Cadish | Counselor | 557 Nw Monroe Street, Corvallis, OR 97330 | 2010-10-19 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1376875740 | Michelle Marie Bachand | Counselor | 230 Sw 3rd St Ste 307, Corvallis, OR 97333-4652 | 2010-02-09 |
| 1679707830 | Isabella Vickers Knight | Counselor | 425 Sw Madison Ave, Suite J-4, Corvallis, OR 97333-4799 | 2009-05-03 |
| 1295975597 | Ildiko M Overbay | Counselor | 760 Sw Madison Ave Ste 204, Corvallis, OR 97333-4590 | 2009-02-26 |
| 1235341918 | Community Outreach, Inc | Counselor | 865 Nw Reiman Ave, Corvallis, OR 97330 | 2007-05-04 |
| Find all providers in CORVALLIS | ||||
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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.