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MS. KELLY JEANNE NELSON MSW, ACSW
NPI 1417090762
Counselor in Grand Ronde, OR

Active since February 15, 2007
9605 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2236(503) 879-5089 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly Jeanne Nelson Msw, Acsw NPPES

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

MS. KELLY JEANNE NELSON MSW, ACSW (NPI 1417090762) is an individual counselor in Grand Ronde, Oregon, licensed in Oregon (C1914) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417090762
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. KELLY JEANNE NELSONCredential: MSW, ACSW
Location Address9605 GRAND RONDE RDGrand Ronde, OR 97347-9712
Mailing AddressPo Box 338Grand Ronde, OR 97347-0338 · (503) 879-2236 · Fax (503) 879-5089
Phone(503) 879-2236
Fax(503) 879-5089
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417090762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · C1914
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
9605 GRAND RONDE RD, Grand Ronde, OR 97347
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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.

HEIDI KATHLEEN HICINBOTHOM
Peer Specialist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2026
STEPHANIE KING CHW
Community Health Worker
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2078
NATASHA RAE WORDEN PEER SUPPORT
Peer Specialist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2297
MS. KARAN ELAINE SCHARF CDCIII
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2236
HEATHER MANKA DMD
Dentist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2020
DR. ERIN MARGARET LANGE DMD
Dentist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2020
MR. MAURICE A AJAIFIA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2026
CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON DBA GR HEALTH &
Clinic/Center (Community Health)
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2236

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 Nelson's NPI number?

The NPI number for Kelly Nelson is 1417090762. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Kelly Nelson located?

Kelly Nelson practices at 9605 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2236.

What is Kelly Nelson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.