KELSEY PEDERSEN
NPI 1114568136
Counselor - Mental Health in Springfield, OR

Active since October 01, 2019
3995 MARCOLA RD, SPRINGFIELD, OR 97477(541) 726-1465(541) 726-5085 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelsey Pedersen NPPES

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

KELSEY PEDERSEN (NPI 1114568136) is an individual mental health provider in Springfield, Oregon and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1114568136
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELSEY PEDERSEN
Location Address3995 MARCOLA RDSpringfield, OR 97477-7948
Mailing Address3995 Marcola RdSpringfield, OR 97477-7948 · (541) 726-1465 · Fax (541) 726-5085
Fax(541) 726-5085
Sole ProprietorNo
Enumeration DateOctober 1, 2019
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
NPI 1114568136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3995 MARCOLA RD, Springfield, OR 97477

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.

Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Behavior Technician
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Community/Behavioral Health
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477
Counselor (Mental Health)
3995 MARCOLA RD
SPRINGFIELD, OR 97477

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 Kelsey Pedersen's NPI number?

The NPI number for Kelsey Pedersen is 1114568136. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Kelsey Pedersen located?

Kelsey Pedersen practices at 3995 Marcola Rd, Springfield, OR 97477. The listed phone number is (541) 726-1465.

What is Kelsey Pedersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelsey Pedersen was last updated on December 18, 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.