KELLIE WARD MS, LPC INTERN
NPI 1104408871
Counselor in Roseburg, OR

Q: What is Kellie Ward's NPI number?

The NPI number for Kellie Ward is 1104408871. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Kellie Ward'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 Kellie Ward was last updated on April 22, 2021. 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 April 22, 2021

272 NW MEDICAL LOOP STE, ROSEBURG, OR 97471(541) 900-4285(888) 810-2993 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kellie Ward Ms, Lpc Intern NPPES

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

KELLIE WARD MS, LPC INTERN (NPI 1104408871) is an individual counselor in Roseburg, Oregon, licensed in Oregon (R6803) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1104408871

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKELLIE WARDCredential: MS, LPC INTERN

Location Address272 NW MEDICAL LOOP STERoseburg, OR 97471-5597

Mailing Address1757 Schoolhouse Ct NwSalem, OR 97304-3292 · (541) 760-1033

Phone(541) 900-4285

Fax(888) 810-2993

Sole ProprietorNo

Enumeration DateApril 22, 2021

NPPES CertifiedApril 22, 2021

✔ NPI 1104408871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OR · R6803

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.

272 NW MEDICAL LOOP STE, Roseburg, OR 97471

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Other Providers at the Same Location NPPES

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

MRS. KIMBERLY ANN MORRISON

Counselor

272 NW MEDICAL LOOP STE
ROSEBURG, OR 97471

Douglas County (541) 900-4285

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 Kellie Ward's NPI number?

The NPI number for Kellie Ward is 1104408871. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Kellie Ward located?

Kellie Ward practices at 272 NW Medical Loop Ste, Roseburg, OR 97471. The listed phone number is (541) 900-4285.

What is Kellie Ward'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 Kellie Ward was last updated on April 22, 2021. 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.