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KIMBERLY MICHELLE KELLEY LPC
NPI 1619104338
Counselor - Professional in Bend, OR

Active since June 20, 2009
15 SW COLORADO AVE, STE. 130, BEND, OR 97702(541) 480-3665(541) 550-3887 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Michelle Kelley Lpc NPPES

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

KIMBERLY MICHELLE KELLEY LPC (NPI 1619104338) is an individual professional provider in Bend, Oregon, licensed in Oregon (C1101) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1619104338
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERLY MICHELLE KELLEYCredential: LPC
Location Address15 SW COLORADO AVE, STE. 130Bend, OR 97702-1150
Mailing AddressPo Box 1225Bend, OR 97709-1225 · (541) 480-3665 · Fax (541) 550-3887
Phone(541) 480-3665
Fax(541) 550-3887
Sole ProprietorYes
Enumeration DateJune 20, 2009
Last NPPES UpdateJuly 19, 2016
✔ NPI 1619104338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C1101
15 SW COLORADO AVE, Bend, OR 97702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 8

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

JOSIE JUHASZ MACP
Counselor (Professional)
15 SW COLORADO AVE, SUITE 130
BEND, OR 97702
Deschutes County (541) 325-3254
MS. JILLIAN ELIZABETH SAMMON LCSW
Social Worker (Clinical)
15 SW COLORADO AVE, SUITE 350
BEND, OR 97702
Deschutes County (541) 647-0514
MEGHAN REBECCA FLAHERTY LCSW
Social Worker (Clinical)
15 SW COLORADO AVE
BEND, OR 97702
Deschutes County (541) 647-4931
SUSAN C MIDDLETON LCSW
Social Worker (Clinical)
15 SW COLORADO AVE, SUITE 130
BEND, OR 97702
Deschutes County (541) 390-8443
MRS. KIMBERLY ANNE MARTIN LPC
Counselor (Professional)
15 SW COLORADO AVE, SUITE 350
BEND, OR 97702
Deschutes County (541) 647-8553
BONNIE J. SNYDER LMT
Massage Therapist
15 SW COLORADO AVE, STE. 125
BEND, OR 97702
Deschutes County (541) 317-0464
MOLLY CARROLL MA
Counselor (Professional)
15 SW COLORADO AVE, SUITE 350
BEND, OR 97702
Deschutes County (541) 390-7941
MELANIE ANNE MERRISS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
15 SW COLORADO AVE, SUITE 350
BEND, OR 97702
Deschutes County (541) 390-3720

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 Kimberly Kelley's NPI number?

The NPI number for Kimberly Kelley is 1619104338. It was assigned to this individual provider in the NPPES registry on June 20, 2009.

Where is Kimberly Kelley located?

Kimberly Kelley practices at 15 SW Colorado Ave Ste. 130, Bend, OR 97702. The listed phone number is (541) 480-3665.

What is Kimberly Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kimberly Kelley accept?

Health plans from PacificSource Health Plans list Kimberly Kelley 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 Kimberly Kelley was last updated on July 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.