KEVIN KELLEY LPC
NPI 1700394558
Counselor - Mental Health in Eugene, OR

Active since January 15, 2018PECOS Enrolled
921 COUNTRY CLUB RD STE 100, EUGENE, OR 97401(541) 510-5071 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2024, Nov 8, 2024, Jan 15, 2018 (3 updates tracked since 2018).

About Kevin Kelley Lpc NPPES

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

KEVIN KELLEY LPC (NPI 1700394558) is an individual mental health provider in Eugene, Oregon, licensed in Oregon (C5590) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700394558
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN KELLEYCredential: LPC
Location Address921 COUNTRY CLUB RD STE 100Eugene, OR 97401-6039
Mailing Address921 Country Club Rd Ste 100Eugene, OR 97401-6039 · (541) 510-5071
Sole ProprietorNo
Enumeration DateJanuary 15, 2018
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1700394558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · C5590
921 COUNTRY CLUB RD STE 100, Eugene, OR 97401

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Kelley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Counselor (Mental Health)
921 COUNTRY CLUB RD STE 100
EUGENE, OR 97401

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 Kevin Kelley's NPI number?

The NPI number for Kevin Kelley is 1700394558. It was assigned to this individual provider in the NPPES registry on January 15, 2018.

Where is Kevin Kelley located?

Kevin Kelley practices at 921 Country Club Rd Ste 100, Eugene, OR 97401. The listed phone number is (541) 510-5071.

What is Kevin Kelley's specialty?

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

Is Kevin Kelley enrolled in Medicare?

Yes. Kevin Kelley is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Kelley accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kevin 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 Kevin Kelley was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.