1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Case Manager Care Coordinator
  6. NPI Profile

MRS. KELLY JENE MACK BS, CADCI
NPI 1164692455
Case Manager/Care Coordinator in Salem, OR

Active since March 03, 2008
3737 PORTLAND RD NE, SALEM, OR 97301(503) 390-2600 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Jene Mack Bs, Cadci NPPES

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

MRS. KELLY JENE MACK BS, CADCI (NPI 1164692455) is an individual case manager/care coordinator provider in Salem, Oregon and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1164692455
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMRS. KELLY JENE MACKCredential: BS, CADCI
Location Address3737 PORTLAND RD NESalem, OR 97301-0311
Mailing Address3737 Portland Rd NeSalem, OR 97301-0311 · (503) 390-2600
Phone(503) 390-2600
Sole ProprietorNo
Enumeration DateMarch 3, 2008
Last NPPES UpdateJuly 10, 2019
✔ NPI 1164692455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 05-11-34 (OR)
3737 PORTLAND RD NE, Salem, OR 97301
Open in Google Maps ↗

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.

CARINA GARIBAY
Community Health Worker
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 390-2600
JILL MINDORA SORENSEN BS
Community/Behavioral Health
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 390-2600
TONYA SORENSEN
Case Manager/Care Coordinator
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 362-2225
EDGAR A LLAMAS
Counselor (Mental Health)
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 390-2600
DANIEL ROBANCHO OSTROWSKI
Marriage & Family Therapist
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 390-2600
EVELYN GARCIA
Community Health Worker
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (971) 971-9056
KRISTIN R HARPER B.S.
Student in an Organized Health Care Education/Training Program
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 485-8977
TRACY L YOUNG
Respite Care (Respite Care, Mental Illness, Child)
3737 PORTLAND RD NE
SALEM, OR 97301
Marion County (503) 390-2600

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 Kelly Mack's NPI number?

The NPI number for Kelly Mack is 1164692455. It was assigned to this individual provider in the NPPES registry on March 3, 2008.

Where is Kelly Mack located?

Kelly Mack practices at 3737 Portland Rd NE, Salem, OR 97301. The listed phone number is (503) 390-2600.

What is Kelly Mack's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Kelly Mack was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.