KELLI DIANE BENNETT
NPI 1699320440
Counselor - Professional in Redmond, OR

Q: What is Kelli Bennett's NPI number?

The NPI number for Kelli Bennett is 1699320440. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Q: What is Kelli Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Bennett was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 08, 2019PECOS Enrolled

244 NW KINGWOOD AVE, REDMOND, OR 97756(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Apr 10, 2025, Aug 8, 2019 (3 updates tracked since 2019).

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About Kelli Diane Bennett NPPES

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

KELLI DIANE BENNETT (NPI 1699320440) is an individual professional provider in Redmond, Oregon, licensed in Oregon (C7571) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699320440

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLI DIANE BENNETT

Location Address244 NW KINGWOOD AVERedmond, OR 97756-1688

Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7678

Phone(541) 322-7500

Fax(541) 322-7565

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 8, 2019

Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1699320440 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 · C7571

244 NW KINGWOOD AVE, Redmond, OR 97756

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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 (PECOS)

Kelli Diane Bennett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820576481

PECOS Enrollment IDI20260204000855

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.

Other Providers at the Same Location NPPES 15

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

SHAKARI CARSON LCSW

Social Worker (Clinical)