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

Q: 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.

Q: What is Kevin Kelley'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 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 22 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 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: October 25, 2026.

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

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christians As Family Advocates

Same address

Mental Health

921 COUNTRY CLUB RD, 222
Eugene, OR 97401

Reassigned Medicare billing, Oregon enrollment
13 clinicians in this Medicare group

NPI 1548474562 (541) 686-6000

Mckenzie Mental Health, LLC

0.8 mi

Mental Health

1600 EXECUTIVE PKWY
Eugene, OR 97401

Reassigned Medicare billing, Oregon enrollment
5 clinicians in this Medicare group

NPI 1750102075 (458) 205-8347

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

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.

Which organizations bill Medicare for Kevin Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kelley reassigns Medicare benefits to 2 organizations: Christians As Family Advocates (Eugene, OR) and Mckenzie Mental Health, LLC (Eugene, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 22 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.