1. Home
  2. Directory
  3. Oregon
  4. Pendleton
  5. Counselor
  6. NPI Profile

MICHELLE B KENNEDY CRM
NPI 1578040754
Counselor - Addiction (Substance Use Disorder) in Pendleton, OR

Active since July 20, 2018
200 SE HAILEY AVE STE 204, PENDLETON, OR 97801(541) 663-4104 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Jul 20, 2018 (2 updates tracked since 2018).

About Michelle B Kennedy Crm NPPES

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

MICHELLE B KENNEDY CRM (NPI 1578040754) is an individual addiction (substance use disorder) provider in Pendleton, Oregon, licensed in Oregon (25-08-20624) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1578040754
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMICHELLE B KENNEDYCredential: CRM
Location Address200 SE HAILEY AVE STE 204Pendleton, OR 97801-3072
Mailing AddressPo Box 882Pendleton, OR 97801-0882 · (541) 663-4104 · Fax (541) 663-4142
Phone(541) 663-4104
Sole ProprietorNo
Enumeration DateJuly 20, 2018
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1578040754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 25-08-20624
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 25-QMHA-R-7080 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 16-CRM-012 (OR)
200 SE HAILEY AVE STE 204, Pendleton, OR 97801
Open in Google Maps ↗

Other Identifiers 1

Medicaid500790553OR

Other Providers at the Same Location NPPES 18

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

AMIE LORAINE MARTIN
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 962-0162
SHELLY WHITEHEAD
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104
STEPHANIE MILLER MSW
Social Worker (Clinical)
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 962-0162
DESIREE N MILLS CRM, CADC-R
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 963-4104
OREGON WASHINGTON HEALTH NETWORK
Clinic/Center (Health Service)
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 429-8844
SUSAN FANNING RN
Registered Nurse (General Practice)
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104
STEVEN MCBRIDE
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104
MICHAEL MILLER
Peer Specialist
200 SE HAILEY AVE STE 204
PENDLETON, OR 97801
Umatilla County (541) 663-4104

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 Michelle Kennedy's NPI number?

The NPI number for Michelle Kennedy is 1578040754. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Where is Michelle Kennedy located?

Michelle Kennedy practices at 200 SE Hailey Ave Ste 204, Pendleton, OR 97801. The listed phone number is (541) 663-4104.

What is Michelle Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michelle Kennedy was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.