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

Q: 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.

Q: What is Kiersten Kelly's specialty?

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

Q: 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.

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: October 18, 2026.

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

On this page

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, maintains a secondary practice location in Portland, 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

Open in Google Maps ↗

Secondary Practice Location 1

Location 11411 SW Morrison St Ste 310Portland, OR 97205-1945 · Phone (503) 352-2400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kiersten Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services Oregon

25 mi

Interventional Cardiology

5050 SKYLINE VILLAGE LOOP S
Salem, OR 97306

Reassigned Medicare billing, Oregon enrollment
1,501 clinicians in this Medicare group

NPI 1265743330 (503) 291-2123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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