JILL KELLY
NPI 1396292652
Counselor - Professional in Portland, OR

Q: What is Jill Kelly's NPI number?

The NPI number for Jill Kelly is 1396292652. It was assigned to this individual provider in the NPPES registry on September 4, 2016.

Q: What is Jill Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jill Kelly was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 September 04, 2016PECOS Enrolled

1306 NW HOYT ST STE 407, PORTLAND, OR 97209(971) 407-3930 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Jan 28, 2020, Sep 4, 2016 (3 updates tracked since 2016).

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About Jill Kelly NPPES

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

JILL KELLY (NPI 1396292652) is an individual professional provider in Portland, Oregon, licensed in Oregon (C5967) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1396292652

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJILL KELLY

Location Address1306 NW HOYT ST STE 407Portland, OR 97209-2787

Mailing AddressPo Box 34703Seattle, WA 98124-1703

Phone(971) 407-3930

Sole ProprietorNo

Enumeration DateSeptember 4, 2016

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1396292652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C5967

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1306 NW HOYT ST STE 407, Portland, OR 97209

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Secondary Practice Location 1

Location 14445 SW Barbur BlvdPortland, OR 97239-4047 · Phone (503) 768-6325

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Kelly 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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA LEE BROWN ALBRIGHT RN

Nurse Practitioner (Psychiatric/Mental Health)