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

Q: What is Jessica Kelley's NPI number?

The NPI number for Jessica Kelley is 1063875185. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Jessica Kelley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kelley was last updated on February 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment

200 BEATTY ST, MEDFORD, OR 97501(541) 476-2373 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2024, Oct 18, 2023, Jun 16, 2021 and 2 more (5 updates tracked since 2019).

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About Jessica Kelley NPPES

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

JESSICA KELLEY (NPI 1063875185) is an individual marriage & family therapist in Medford, Oregon, licensed in Oregon (T2393) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063875185

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJESSICA KELLEY

Location Address200 BEATTY STMedford, OR 97501-5811

Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373 · Fax (541) 884-2338

Phone(541) 476-2373

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 5, 2016

Last NPPES UpdateFebruary 7, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1063875185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in OR · T2393

Definition

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.

200 BEATTY ST, Medford, OR 97501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Kelley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537519517

PECOS Enrollment IDI20240103002859

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.

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Other Providers at the Same Location NPPES 20

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

KATHERINE LEONIS RN

Registered Nurse