JESSICA KELLEY
NPI 1063875185
Marriage & Family Therapist in Medford, OR

NPI Status: Active since April 05, 2016

Contact Information

200 BEATTY ST
MEDFORD, OR
ZIP 97501
Phone: (541) 476-2373

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  • Individual
  • Female
  • Years of Experience 7
  • Marriage & Family Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JESSICA KELLEY

This page provides the complete NPI Profile along with additional information for Jessica Kelley, a provider established in Medford, Oregon with a medical specialization in Marriage & Family Therapist and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1063875185 assigned on April 2016. The practitioner's primary taxonomy code is 106H00000X with license number T2393 (OR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1063875185
Provider Name
JESSICA KELLEY
Gender
Female
Entity Type
Individual
Location Address
200 BEATTY ST MEDFORD, OR 97501
Location Phone
(541) 476-2373
Mailing Address
1215 SW G ST GRANTS PASS, OR 97526
Mailing Phone
(541) 476-2373
Mailing Fax
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
04-05-2016
Last Update Date
02-07-2024
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A marriage and family therapist like Jessica Kelley help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
T2393
License State
OR
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • HSA Qualified 7100 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Silver 6200 Individual and Family Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jessica Kelley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jessica Kelley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9537519517

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240103002859

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for JESSICA KELLEY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063875185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012316710116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 6 + 7 + 1 + 0 + 1 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1063875185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

ERICA CHRISTINE RENNICK BAI

Behavior Technician

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

DONALD SCOTT MICKEY BS

Case Manager/Care Coordinator

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 774-4812

MR. JASON WARD WILEMAN BS, QMHA

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

JENNIFER LEE DAMON PSS

Peer Specialist

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

MRS. JOHANNA ERIN WARD BA, QMHA

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

MR. ERIN LYNN DOZHIER QMHA

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

MRS. AUDREY WHITFORD

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

BRIAN FITZPATRICK RN

Registered Nurse

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

DR. DIANE LYNN DUBOW PH.D.

Psychologist

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

RICHARD JOSEPH MCCLEARY

Peer Specialist

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

MALIA JOHNSON DNP, FNP

Nurse Practitioner

(Family)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

LACEY A REAVES

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

ADAM PETERSON CADC III, CSWA

Counselor

(Addiction (Substance Use Disorder))

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

HEATHER MARIE GETZ

Peer Specialist

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

ELISE G CHOW

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

AMANDA LOUISE CONSTABLE QMHA

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

DEICI ESTEFANI CRUZ DE PAZ QMHA

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

HARVEY DEAN BRAGG II SOCIAL WORKER

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

KATHERINE LEONIS RN

Registered Nurse

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

SARAH MAE GORHAM

Counselor

(Mental Health)

200 BEATTY ST
MEDFORD, OR
ZIP 97501

(541) 476-2373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063875185, enumerated as an "individual" on April 05, 2016.

The provider is located at 200 BEATTY ST MEDFORD, OR 97501 and the phone number is (541) 476-2373.

Marriage & Family Therapist with taxonomy code 106H00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.