KELLYJOY KANALEY LPC
NPI 1083977854
Counselor - Mental Health in Portland, OR
About Kellyjoy Kanaley Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLYJOY KANALEY LPC (NPI 1083977854) is an individual mental health provider in Portland, Oregon, licensed in Oregon (C2876) and active in the NPI registry since June 2012. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kellyjoy Kanaley Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.
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.
PORTLAND, OR 97202
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 Kellyjoy Kanaley's NPI number?
The NPI number for Kellyjoy Kanaley is 1083977854. It was assigned to this individual provider in the NPPES registry on June 18, 2012.
Where is Kellyjoy Kanaley located?
Kellyjoy Kanaley practices at 1235 SE Division St Ste 205, Portland, OR 97202. The listed phone number is (503) 473-2910.
What is Kellyjoy Kanaley's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kellyjoy Kanaley enrolled in Medicare?
No. Kellyjoy Kanaley has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Kellyjoy Kanaley accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kellyjoy Kanaley 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 Kellyjoy Kanaley was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kellyjoy Kanaley, LPC · NPI 1083977854
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 18, 2012.
## Identity
- **NPI:** 1083977854 (Entity type: Individual)
- **Enumerated:** June 18, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** C2876 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1235 SE DIVISION ST STE 205, Portland, OR 97202-1000
- **Phone:** (503) 473-2910
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1083977854) · Data from the CMS NPPES public registry.