CLINTON E KITTRELL MSW
NPI 1215345681
Counselor - Mental Health in Pendleton, OR

Q: What is Clinton Kittrell's NPI number?

The NPI number for Clinton Kittrell is 1215345681. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Q: What is Clinton Kittrell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clinton Kittrell was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 29, 2014PECOS Enrolled

46314 TIMINE WAY, PENDLETON, OR 97801(541) 966-9830(541) 240-8410 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clinton E Kittrell Msw NPPES

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

CLINTON E KITTRELL MSW (NPI 1215345681) is an individual mental health provider in Pendleton, Oregon, licensed in Oregon (L6482) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215345681

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCLINTON E KITTRELLCredential: MSW

Location Address46314 TIMINE WAYPendleton, OR 97801-9099

Mailing Address46314 Timine WayPendleton, OR 97801-9099 · (541) 966-9830 · Fax (541) 240-8410

Phone(541) 966-9830

Fax(541) 240-8410

Sole ProprietorNo

Enumeration DateJuly 29, 2014

Last NPPES UpdateApril 15, 2020

NPPES CertifiedApril 15, 2020

✔ NPI 1215345681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · L6482

46314 TIMINE WAY, Pendleton, OR 97801

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Other Identifiers 1

Medicaid500681449OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton E Kittrell Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CODY M CIMMIYOTTI

Peer Specialist