KEVIN KELLEY (NPI# 1700394558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700394558 |
| Entity Type | Individual |
| Full Name | KEVIN KELLEY |
| Credential | MA |
| Practice Address |
921 Country Club Rd Ste 222 Eugene OR 97401-2238 |
| Mailing Address |
766 Blackfoot Ave Eugene OR 97404-1554 |
| Practice Telephone | 5416866000 |
| Mailing Telephone | 5415105071 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487194908 | Kevin Kelley | Contractor | 1820 Wightman St # 1, Pittsburgh, PA 15217-1536 | 2017-03-02 |
| 1306249255 | Kevin Kelley | Veterinarian | 2813 Highway 378, Conway, SC 29527-5307 | 2014-10-07 |
| 1093847584 | Kevin J. Kelley | Psychologist | 530 Union Blvd, Allentown, PA 18109-3230 | 2007-03-10 |
| 1750391108 | Kevin Michael Kelley | Physician Assistant | 27a Centennial Dr, Peabody, MA 01960-7901 | 2006-08-08 |
| 1881654697 | Kevin F Kelley Sr. | Physician Assistant | 101 Strauss Ave, Cbirf, 2nd Mef, Indian Head, MD 20640-1542 | 2006-03-24 |
| 1871053447 | Kevin Kelley | Student in an Organized Health Care Education/Training Program | 401 Quarry Rd, Palo Alto, CA 94304-1419 | 2019-03-20 |
| 1497142996 | Kevin Kelley | Registered Nurse | 400 Bald Hill Rd, Suite 520, Warwick, RI 02886-1617 | 2015-04-22 |
| 1922493287 | Kevin Kelley | Behavioral Analyst | 1040 Waltham St, Lexington, MA 02421-8033 | 2015-04-03 |
| 1447675129 | Kevin D Kelley | Physical Therapist | 1 Neumann Way, Bldg. 750, Cincinnati, OH 45215-1915 | 2014-03-04 |
| 1508203936 | Kevin A. Kelley | Physical Therapist | 850 43rd Ave Ste 300, Moline, IL 61265-8401 | 2013-05-24 |
| Street Address |
921 COUNTRY CLUB RD STE 222 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619013349 | Stephanie Raglin | Marriage & Family Therapist | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2007-01-29 |
| 1104441385 | Spencer Glenn O'connell | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2020-06-12 |
| 1790309185 | Samantha May | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2020-06-02 |
| 1871116616 | Teresa Sue Syrios | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2020-05-27 |
| 1497378616 | Aaron Earlywine | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2020-05-21 |
| 1245852011 | Terry N Hoagland | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2020-05-14 |
| 1093224339 | Sarah Elizabeth Halstead | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2017-09-28 |
| 1265952451 | Bonnie Thielke Temple | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2017-06-20 |
| 1518340702 | Mindi Jean Barta | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2015-07-07 |
| 1184010944 | Laura D Nydigger | Counselor | 921 Country Club Rd Ste 222, Eugene, OR 97401-2238 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467333 | Paula J. Bloom | Counselor | 66 Club Rd Ste No350, Eugene, OR 97401-2420 | 2020-11-06 |
| 1902406903 | Karen Elizabeth Sanchez Dean | Counselor | 1957 Lemming Ave, Eugene, OR 97401-7231 | 2020-10-28 |
| 1356941629 | Alexandra Suzanne Parker | Counselor | 1600 Valley River Dr Ste 100, Eugene, OR 97401-2141 | 2020-10-27 |
| 1417554247 | Counseling Practitioners LLC | Counselor | 1342 High St, Eugene, OR 97401-3237 | 2020-10-05 |
| 1881203404 | Caitlin Joyce, Lcsw LLC | Counselor | 1860 Willamette St Ste 200, Eugene, OR 97401-4044 | 2020-07-29 |
| 1134754013 | Luis Martinez | Counselor | 1973 Garden Avenue, Eugene, OR 97403 | 2020-03-11 |
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1326600453 | Don Sellers Lcsw LLC | Counselor | 1390 Oak St Ste 1, Eugene, OR 97401-3567 | 2019-06-28 |
| 1235796855 | L. Kay Mcdonald | Counselor | 1776 Millrace Dr Ste 200, Eugene, OR 97403-2536 | 2019-05-20 |
| 1093371130 | Rites of The Heart, LLC | Counselor | 1840 Willamette St, Eugene, OR 97401-4601 | 2019-05-14 |
| Find all providers in EUGENE | ||||
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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.