MS. KELLY KATHLEEN SESTERO LPC, LMHC, NCC
NPI 1457479644
Counselor - Mental Health in Beaverton, OR

Active since March 26, 2007Opted out of Medicare · through Dec 8, 2027
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005(503) 208-6511(971) 329-4700 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2023, Apr 30, 2022 (2 updates tracked since 2022).

About Ms. Kelly Kathleen Sestero Lpc, Lmhc, Ncc NPPES

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

MS. KELLY KATHLEEN SESTERO LPC, LMHC, NCC (NPI 1457479644) is an individual mental health provider in Beaverton, Oregon, licensed in Oregon (C6634) and active in the NPI registry since March 2007. She has opted out of Medicare through December 8, 2027.

NPPES Registry Identity

NPI1457479644
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KELLY KATHLEEN SESTEROCredential: LPC, LMHC, NCC
Location Address12725 SW MILLIKAN WAY STE 300Beaverton, OR 97005-1687
Mailing Address12725 Sw Millikan Way Ste 300Beaverton, OR 97005-1687 · (503) 208-6511 · Fax (971) 329-4700
Fax(971) 329-4700
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1457479644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in OR · C6634 Licensed in WA · L00008871
12725 SW MILLIKAN WAY STE 300, Beaverton, OR 97005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Kelly Kathleen Sestero Lpc, Lmhc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2025 through December 8, 2027.

Opt-Out Effective DateDecember 8, 2025
Opt-Out In Effect ThroughDecember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor (Mental Health)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
In Home Supportive Care
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Counselor
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Clinic/Center (Primary Care)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Health Educator
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005
Psychologist (Counseling)
12725 SW MILLIKAN WAY STE 300
BEAVERTON, OR 97005

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 Sestero's NPI number?

The NPI number for Kelly Sestero is 1457479644. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kelly Sestero located?

Kelly Sestero practices at 12725 SW Millikan Way Ste 300, Beaverton, OR 97005. The listed phone number is (503) 208-6511.

What is Kelly Sestero's specialty?

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

Is Kelly Sestero enrolled in Medicare?

No. Kelly Sestero has opted out of Medicare through December 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Sestero accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Sestero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Sestero was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.