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KIERSTEN KELLY
NPI 1588153449
Counselor - Mental Health in Corvallis, OR

Active since May 07, 2018PECOS EnrolledAccepts Medicare Assignment
850 SW 26TH ST, CORVALLIS, OR 97331(547) 768-8800 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, May 7, 2018 (2 updates tracked since 2018).

About Kiersten Kelly NPPES

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

KIERSTEN KELLY (NPI 1588153449) is an individual mental health provider in Corvallis, Oregon and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1588153449
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIERSTEN KELLY
Location Address850 SW 26TH STCorvallis, OR 97331-8624
Mailing AddressPo Box 1189Corvallis, OR 97339-1189
Phone(547) 768-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 7, 2018
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1588153449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
850 SW 26TH ST, Corvallis, OR 97331
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiersten Kelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375999030
PECOS Enrollment IDI20231101000780
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
53 services21 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
21 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
20 services20 patients

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.

LARRY DWAYNE SEBRING M.D.
Emergency Medicine
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
MRS. KATHRYN E LEDERER FNP
Nurse Practitioner (Family)
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
ALEXANDER MICHAEL GOLDNER PA
Physician Assistant
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
DR. REBAKAH K. OWEN-THAYER M.D.
Internal Medicine
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
SARAH MERING NP
Nurse Practitioner (Women's Health)
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
DR. SHANILKA N. DE SOYZA M.D.
Family Medicine
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
HEIDI LYNN WISE
Physician Assistant (Medical)
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355
MRS. JESSICA ROBERTSON RDN
Dietitian, Registered
850 SW 26TH ST
CORVALLIS, OR 97331
Benton County (541) 737-9355

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 Kiersten Kelly's NPI number?

The NPI number for Kiersten Kelly is 1588153449. It was assigned to this individual provider in the NPPES registry on May 7, 2018.

Where is Kiersten Kelly located?

Kiersten Kelly practices at 850 SW 26th St, Corvallis, OR 97331. The listed phone number is (547) 768-8800.

What is Kiersten Kelly's specialty?

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

Is Kiersten Kelly enrolled in Medicare?

Yes. Kiersten Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kiersten Kelly was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.