WELLNESS BOUND MENTAL HEALTH LLC
NPI 1235721085
Nurse Practitioner - Psychiatric/Mental Health in Oregon City, OR
NPI Status: Active since February 03, 2021
Contact Information
12999 S MACDONALDS PL
OREGON CITY, OR
ZIP 97045
Phone: (541) 295-5172
Fax: (971) 362-4818
- Organization
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
About WELLNESS BOUND MENTAL HEALTH LLC
This page provides the complete NPI Profile along with additional information for Wellness Bound Mental Health Llc, a provider established in Oregon City, Oregon operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1235721085 assigned on February 2021. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Melissa Jean Kidby Pmhnp-bc (Owner/provider)
- NPI
- 1235721085
- Provider Name
- WELLNESS BOUND MENTAL HEALTH LLC
- Entity Type
- Organization
- Location Address
- 12999 S MACDONALDS PL OREGON CITY, OR 97045
- Location Phone
- (541) 295-5172
- Location Fax
- (971) 362-4818
- Mailing Address
- PO BOX 159 WARRENTON, OR 97146
- Mailing Phone
- (971) 368-1980
- Mailing Fax
- (971) 362-4818
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-03-2021
- Last Update Date
- 04-10-2026
- Code Navigator
A nurse practitioner (NP) like Wellness Bound Mental Health Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 701 NE 136th Ave
Vancouver, WA 98684
(541) 295-5172
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124427950 | OTHER (01) | OR | INDIVIDUAL NPI |
| 500788714 | MEDICAID (05) | OR | |
| 1902441959 | MEDICAID (05) | OR | |
| 1902441959 | OTHER (01) | OR | INDIVIDUAL NPI |
| 500832993 | MEDICAID (05) | OR | |
| 1235721085 | OTHER (01) | OR | FACILITY NPI |
| 2357805 | MEDICAID (05) | WA | |
| 500704924 | MEDICAID (05) | OR |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235721085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
OREGON CITY, OR 97045
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235721085, enumerated as an "organization" on February 03, 2021.
The provider is located at 12999 S MACDONALDS PL OREGON CITY, OR 97045 and the phone number is (541) 295-5172.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: BridgeSpan Health Company, Providence Health Plan,. Please consult your insurance carrier or call the provider to verify.
