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KELLIE CLEAVER
NPI 1720646706
Counselor - Professional in Dallas, OR

Active since June 04, 2019
182 SW ACADEMY ST, DALLAS, OR 97338(503) 623-9289 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Cleaver NPPES

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

KELLIE CLEAVER (NPI 1720646706) is an individual professional provider in Dallas, Oregon, licensed in Oregon (C7151) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1720646706
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLIE CLEAVER
Location Address182 SW ACADEMY STDallas, OR 97338-1996
Mailing Address643 Nw 10th StCorvallis, OR 97330-6111 · (971) 409-2043
Phone(503) 623-9289
Sole ProprietorYes
Enumeration DateJune 4, 2019
Last NPPES UpdateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1720646706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C7151
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
182 SW ACADEMY ST, Dallas, OR 97338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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.

JESSICA LYNN DAVIDSON
Case Manager/Care Coordinator
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
ROBERT AUSTIN ZEPEDA
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 962-3928
KIMBERLY DAWN HOWARD QMHA
Counselor
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289
JEDONNE JORSTAD BA
Counselor (Mental Health)
182 SW ACADEMY ST, STE 304
DALLAS, OR 97338
Polk County (503) 623-9289
MELANIE MYERS M.S.
Social Worker
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 831-5970
ZACHARY BEELER
Counselor (Mental Health)
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
LINNEA BAKER
Peer Specialist
182 SW ACADEMY ST
DALLAS, OR 97338
Polk County (503) 623-9289
SUSAN MARIE KLEIN
Counselor (Addiction (Substance Use Disorder))
182 SW ACADEMY ST, SUITE 304
DALLAS, OR 97338
Polk County (503) 623-9289

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 Kellie Cleaver's NPI number?

The NPI number for Kellie Cleaver is 1720646706. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Kellie Cleaver located?

Kellie Cleaver practices at 182 SW Academy St, Dallas, OR 97338. The listed phone number is (503) 623-9289.

What is Kellie Cleaver's specialty?

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

What insurance does Kellie Cleaver accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kellie Cleaver 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 Kellie Cleaver was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.