COLLEEN M KELLY LPC
NPI 1720117674
Counselor - Professional in Portland, OR

Active since March 05, 2007
537 SE ALDER ST, PORTLAND, OR 97214(503) 972-9633(503) 972-9636 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen M Kelly Lpc NPPES

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

COLLEEN M KELLY LPC (NPI 1720117674) is an individual professional provider in Portland, Oregon, licensed in Oregon (C1691) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720117674
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCOLLEEN M KELLYCredential: LPC
Location Address537 SE ALDER STPortland, OR 97214-2231
Mailing Address3910 Se Stark StPortland, OR 97214-3241 · (503) 235-8655 · Fax (503) 239-6233
Fax(503) 972-9636
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 19, 2014
NPI 1720117674 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 · C1691
537 SE ALDER ST, Portland, OR 97214

Other Providers at the Same Location NPPES 14

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

Counselor (Addiction (Substance Use Disorder))
537 SE ALDER ST
PORTLAND, OR 97214
Peer Specialist
537 SE ALDER ST
PORTLAND, OR 97214
Counselor (Mental Health)
537 SE ALDER ST
PORTLAND, OR 97214
Counselor (Professional)
537 SE ALDER ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
537 SE ALDER ST
PORTLAND, OR 97214
Peer Specialist
537 SE ALDER ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
537 SE ALDER ST
PORTLAND, OR 97214
Counselor (Addiction (Substance Use Disorder))
537 SE ALDER ST
PORTLAND, OR 97214

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 Colleen Kelly's NPI number?

The NPI number for Colleen Kelly is 1720117674. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Colleen Kelly located?

Colleen Kelly practices at 537 SE Alder St, Portland, OR 97214. The listed phone number is (503) 972-9633.

What is Colleen Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Colleen Kelly was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.