KELLIE SUPRIANO M.S.
NPI 1154662807
Counselor - Professional in Portland, OR
About Kellie Supriano M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE SUPRIANO M.S. (NPI 1154662807) is an individual professional provider in Portland, Oregon, licensed in Oregon (C3491) and active in the NPI registry since March 2013. 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
Kellie Supriano M.s. 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Supriano's NPI number?
The NPI number for Kellie Supriano is 1154662807. It was assigned to this individual provider in the NPPES registry on March 5, 2013.
Where is Kellie Supriano located?
Kellie Supriano practices at 2931 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 939-9482.
What is Kellie Supriano's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kellie Supriano enrolled in Medicare?
No. Kellie Supriano 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 Kellie Supriano accept?
Health plans from PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kellie Supriano 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 Kellie Supriano was last updated on July 9, 2024. 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.
# Kellie Supriano, M.S. · NPI 1154662807
Professional provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 5, 2013.
## Identity
- **NPI:** 1154662807 (Entity type: Individual)
- **Enumerated:** March 5, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C3491 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 2931 NE BROADWAY ST, Portland, OR 97232-1760
- **Phone:** (503) 939-9482
## 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:** July 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154662807) · Data from the CMS NPPES public registry.