MR. TERRY RAY KELLER LPC, CADC I
NPI 1003117474
Counselor - Mental Health in Clackamas, OR

Q: What is Terry Keller's NPI number?

The NPI number for Terry Keller is 1003117474. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Q: What is Terry Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Terry Keller was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2010PECOS Enrolled

10180 SE SUNNYSIDE RD FL 1, CLACKAMAS, OR 97015(503) 571-0860(503) 571-0864 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2018, Oct 19, 2016 (2 updates tracked since 2016).

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About Mr. Terry Ray Keller Lpc, Cadc I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TERRY RAY KELLER LPC, CADC I (NPI 1003117474) is an individual mental health provider in Clackamas, Oregon, licensed in Oregon (C4173) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1003117474

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. TERRY RAY KELLERCredential: LPC, CADC I

Location Address10180 SE SUNNYSIDE RD FL 1Clackamas, OR 97015-8970

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2099 · (800) 813-2000

Phone(503) 571-0860

Fax(503) 571-0864

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 16, 2010

Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1003117474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · C4173

10180 SE SUNNYSIDE RD FL 1, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Terry Ray Keller Lpc, Cadc I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113431271

PECOS Enrollment IDI20250709003919

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN EDGERTON

Counselor (Addiction (Substance Use Disorder))

10180 SE SUNNYSIDE RD FL 1
CLACKAMAS, OR 97015

Clackamas County (503) 571-0884

KAISER PERMANENTE

General Acute Care Hospital

10180 SE SUNNYSIDE RD FL 1
CLACKAMAS, OR 97015

Clackamas County (503) 571-0884

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Keller's NPI number?

The NPI number for Terry Keller is 1003117474. It was assigned to this individual provider in the NPPES registry on November 16, 2010.

Where is Terry Keller located?

Terry Keller practices at 10180 SE Sunnyside Rd Fl 1, Clackamas, OR 97015. The listed phone number is (503) 571-0860.

What is Terry Keller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Terry Keller enrolled in Medicare?

Yes. Terry Keller is registered in the Medicare PECOS enrollment system.

What insurance does Terry Keller accept?

Health plans from Kaiser Permanente list Terry Keller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terry Keller was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.