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SHAWN CHRISTOPHER KELLEY JR.
NPI 1619792496
Peer Specialist in Redmond, OR

Active since November 18, 2024
1655 SW HIGHLAND AVE STE 3, REDMOND, OR 97756(541) 923-2654 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawn Christopher Kelley Jr. NPPES

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

SHAWN CHRISTOPHER KELLEY JR. (NPI 1619792496) is an individual peer specialist in Redmond, Oregon, licensed in Oregon (24-CRM-3836) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1619792496
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHAWN CHRISTOPHER KELLEY JR.
Location Address1655 SW HIGHLAND AVE STE 3Redmond, OR 97756-2558
Mailing Address1655 Sw Highland Ave Ste 3Redmond, OR 97756-2558 · (541) 923-2654
Phone(541) 923-2654
Sole ProprietorYes
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1619792496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 24-CRM-3836
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1655 SW HIGHLAND AVE STE 3, Redmond, OR 97756
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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.

LISA SURAN DUNNING
Counselor (Mental Health)
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
BLAINE LORRENCE CSWA, CADC III
Counselor (Addiction (Substance Use Disorder))
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
TIANNA NIERI
Counselor (Addiction (Substance Use Disorder))
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
ANNA C BENSON
Counselor (Mental Health)
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
JON RIGGS
Counselor (Addiction (Substance Use Disorder))
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
AMBER LYNN BISHOP CADC-1, LPC-A
Counselor (Addiction (Substance Use Disorder))
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
KATELYN BLANN
Counselor (Professional)
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654
BRADLEY TAYLOR CARPENTER QMHP-R
Student in an Organized Health Care Education/Training Program
1655 SW HIGHLAND AVE STE 3
REDMOND, OR 97756
Deschutes County (541) 923-2654

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 Shawn Kelley's NPI number?

The NPI number for Shawn Kelley is 1619792496. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Where is Shawn Kelley located?

Shawn Kelley practices at 1655 SW Highland Ave Ste 3, Redmond, OR 97756. The listed phone number is (541) 923-2654.

What is Shawn Kelley's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shawn Kelley was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.