MS. KELLY ELIZABETH EDENS BS
NPI 1063008415
Counselor in Tigard, OR

Q: What is Kelly Edens's NPI number?

The NPI number for Kelly Edens is 1063008415. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Q: What is Kelly Edens's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Edens was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 December 18, 2020

11860 SW QUEEN ELIZABETH ST, TIGARD, OR 97224(503) 537-7588 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Kelly Elizabeth Edens Bs NPPES

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

MS. KELLY ELIZABETH EDENS BS (NPI 1063008415) is an individual counselor in Tigard, Oregon and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1063008415

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. KELLY ELIZABETH EDENSCredential: BS

Location Address11860 SW QUEEN ELIZABETH STTigard, OR 97224-2634

Mailing Address11860 Sw Queen Elizabeth StTigard, OR 97224-2634 · (503) 537-7588

Phone(503) 537-7588

Sole ProprietorNo

Enumeration DateDecember 18, 2020

NPPES CertifiedDecember 18, 2020

✔ NPI 1063008415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

11860 SW QUEEN ELIZABETH ST, Tigard, OR 97224

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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 Kelly Edens's NPI number?

The NPI number for Kelly Edens is 1063008415. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Kelly Edens located?

Kelly Edens practices at 11860 SW Queen Elizabeth St, Tigard, OR 97224. The listed phone number is (503) 537-7588.

What is Kelly Edens's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Edens was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.