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KELLIE HICKSON
NPI 1205371978
Counselor - Addiction (Substance Use Disorder) in Eugene, OR

Active since January 04, 2017
78 CENTENNIAL LOOP STE A, EUGENE, OR 97401(541) 393-0777(541) 687-9279 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2025, Aug 31, 2022, Aug 1, 2022 and 2 more (5 updates tracked since 2017).

About Kellie Hickson NPPES

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

KELLIE HICKSON (NPI 1205371978) is an individual addiction (substance use disorder) provider in Eugene, Oregon and active in the NPI registry since January 2017. She maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1205371978
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLIE HICKSON
Location Address78 CENTENNIAL LOOP STE AEugene, OR 97401-7900
Mailing Address78 Centennial Loop Ste AEugene, OR 97401-7900 · (541) 393-0777 · Fax (541) 687-9279
Phone(541) 393-0777
Fax(541) 687-9279
Sole ProprietorNo
Enumeration DateJanuary 4, 2017
Last NPPES UpdateJune 24, 20255 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1205371978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
78 CENTENNIAL LOOP STE A, Eugene, OR 97401
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Secondary Practice Location 1

Location 11901 Cleveland Ave, Suite BSanta Rosa, CA 95401-4282 · Phone (707) 576-0818

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.

MR. KENETH MUTUMA MUTHAURA CADC -R
Counselor (Mental Health)
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777
RYAN MOORE
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 302-6035
AARN LOTHAR BERGSTROM CADC-R
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777
KAT LAFERLE (AKA DOLAN) BS, CADC I
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777
PATRICK WALTERS
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777
COREY GLENN SMITH
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777
NANCY JAMES
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777
LAMONTE MORGAN
Counselor (Addiction (Substance Use Disorder))
78 CENTENNIAL LOOP STE A
EUGENE, OR 97401
Lane County (541) 393-0777

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 Hickson's NPI number?

The NPI number for Kellie Hickson is 1205371978. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Kellie Hickson located?

Kellie Hickson practices at 78 Centennial Loop Ste A, Eugene, OR 97401. The listed phone number is (541) 393-0777.

What is Kellie Hickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kellie Hickson was last updated on June 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.