KELLY JEAN DOTY
NPI 1710724224
Counselor - Mental Health in Coburg, OR

Active since July 11, 2024
1 SERENITY LN, COBURG, OR 97408(541) 687-1110 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Jean Doty NPPES

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

KELLY JEAN DOTY (NPI 1710724224) is an individual mental health provider in Coburg, Oregon, licensed in Oregon (24-QMHA-R-5609) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1710724224
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JEAN DOTY
Location Address1 SERENITY LNCoburg, OR 97408-9350
Mailing Address1 Serenity LnCoburg, OR 97408-9350
Sole ProprietorNo
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
NPI 1710724224 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 · 24-QMHA-R-5609
1 SERENITY LN, Coburg, OR 97408

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.

Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Counselor (Mental Health)
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408
Counselor (Addiction (Substance Use Disorder))
1 SERENITY LN
COBURG, OR 97408

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 Kelly Jean Doty's NPI number?

The NPI number for Kelly Jean Doty is 1710724224. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Kelly Jean Doty located?

Kelly Jean Doty practices at 1 Serenity Ln, Coburg, OR 97408. The listed phone number is (541) 687-1110.

What is Kelly Jean Doty's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Jean Doty was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.