KIMBERLY MICHELLE KELLEY (NPI# 1619104338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619104338 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE KELLEY |
| Credential | LPC |
| Practice Address |
15 Sw Colorado Ave Ste. 130 Bend OR 97702-1150 |
| Mailing Address |
Po Box 1225 Bend OR 97709-1225 |
| Practice Telephone | 5414803665 |
| Practice Fax Number | 5415503887 |
| Mailing Telephone | 5414803665 |
| Mailing Fax Number | 5415503887 |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C1101 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861895112 | Kimberly Kelley | Pharmacist | 2444 W Las Palmaritas Dr, Phoenix, AZ 85021-4860 | 2014-10-01 |
| 1568686111 | Kimberly Ann Kelley | Pharmacist | 71 Lowell Rd, Concord, MA 01742-1709 | 2007-04-13 |
| 1720169170 | Kimberly A Kelley | Dentist | 1103 Hwy 3351 N, Kendalia, TX 78027 | 2006-10-18 |
| 1346894755 | Kimberly Anne Kelley | Registered Nurse | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2019-07-25 |
| 1427572312 | Kimberly Jane Kelley | Counselor | 16314 Cornuta Ave, Bellflower, CA 90706-4814 | 2017-08-01 |
| 1578961694 | Kimberly Kelley | Nurse Practitioner | 2470 Daniels Bridge Rd, Building 200, Suite 251, Athens, GA 30606-6187 | 2014-12-06 |
| 1326447897 | Kimberly Kelley | Social Worker | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2014-08-20 |
| 1578804258 | Kimberly B Kelley | Physical Therapist | 5 First Village Dr, Pinehurst, NC 28374-8724 | 2013-03-06 |
| 1316232143 | Kimberly Theresa Kelley | Counselor | 36 Cordage Park Cir, Plymouth, MA 02360-7331 | 2011-06-09 |
| 1922392117 | Kimberly Kelley | Pharmacist | 7150 Us 19 N, T-2064, Pinellas Park, FL 33781-4602 | 2011-06-05 |
| Street Address |
15 SW COLORADO AVE STE. 130 |
| City | BEND |
| State | OR |
| Zip Code | 97702-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194736264 | Josie Juhasz | Counselor | 15 Sw Colorado Ave, Suite 130, Bend, OR 97702-1150 | 2006-08-11 |
| 1801225321 | Molly Carroll | Counselor | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1150 | 2013-11-05 |
| 1316218944 | Jillian Elizabeth Sammon | Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1150 | 2012-01-12 |
| 1427206986 | Meghan Rebecca Flaherty | Social Worker | 15 Sw Colorado Ave, Bend, OR 97702-1150 | 2008-09-08 |
| 1952577280 | Melanie Anne Merriss | Nurse Practitioner | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1150 | 2008-05-06 |
| 1578738746 | Kimberly Anne Martin | Counselor | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1150 | 2008-04-28 |
| 1972785210 | Parke Miller | Counselor | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1150 | 2007-11-28 |
| 1740308261 | Bonnie J. Snyder | Massage Therapist | 15 Sw Colorado Ave, Ste. 125, Bend, OR 97702-1150 | 2007-03-26 |
| 1538170618 | Susan C Middleton | Social Worker | 15 Sw Colorado Ave, Suite 130, Bend, OR 97702-1150 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649005 | Birgit Essl | Counselor | 925 Nw Wall St Ste 203, Bend, OR 97703-2052 | 2020-11-08 |
| 1598362626 | Ascension Counseling LLC | Counselor | 15 Sw Colorado Ave Ste 127, Bend, OR 97702-1229 | 2020-10-01 |
| 1902413297 | Barbara Jenkins Jenkins Lehman | Counselor | 131 Nw Hawthorne Ave Ste 102, Bend, OR 97703-2957 | 2020-09-30 |
| 1215554159 | Briana Fox Counseling, LLC | Counselor | 131 Nw Hawthorne Ave Ste 211, Bend, OR 97703-2958 | 2020-06-26 |
| 1245860238 | Sydney Leigh Stringer | Counselor | 245 Nw Delaware Ave, Bend, OR 97703-2840 | 2020-01-19 |
| 1497110423 | Tamara Harty | Counselor | 18602 Couch Market Rd, Bend, OR 97703-9148 | 2015-12-17 |
| 1427424415 | Claire Rose Lapoma | Counselor | 731 Nw Franklin Ave Ste 100, Bend, OR 97703 | 2015-08-13 |
| 1306228259 | Scott Radzik | Counselor | 376 Sw Bluff Dr Ste 1, Bend, OR 97702-1399 | 2015-06-26 |
| 1417347584 | Dara Katherine Pearson | Counselor | 135 Nw Greeley Ave, Bend, OR 97701-2964 | 2015-01-28 |
| 1912322090 | Laurie Anne Hunter | Counselor | 2700 Ne 4th St Ste 240, Bend, OR 97701-3628 | 2014-02-25 |
| Find all providers in BEND | ||||
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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.