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KELLY KNEECE LPC
NPI 1790211191
Counselor - Mental Health in Bend, OR

Active since May 04, 2017Opted out of Medicare · through Jan 1, 2028
205 SE DAVIS AVE, BEND, OR 97702(458) 206-1650 Get Directions Write a Review

NPPES record last updated: December 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2022, Sep 8, 2021, Sep 15, 2018 (3 updates tracked since 2018).

About Kelly Kneece Lpc NPPES

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

KELLY KNEECE LPC (NPI 1790211191) is an individual mental health provider in Bend, Oregon, licensed in Oregon (C6310) and active in the NPI registry since May 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1790211191
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY KNEECECredential: LPC
Location Address205 SE DAVIS AVEBend, OR 97702-1333
Mailing Address205 Se Davis AveBend, OR 97702-1333 · (707) 849-9329
Phone(458) 206-1650
Sole ProprietorNo
Enumeration DateMay 4, 2017
Last NPPES UpdateDecember 3, 20233 updates tracked since enumeration
NPPES CertifiedDecember 3, 2023
✔ NPI 1790211191 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 · C6310
205 SE DAVIS AVE, Bend, OR 97702
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly Kneece Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. FRED J SAPORITO PHD
Counselor (Mental Health)
205 SE DAVIS AVE
BEND, OR 97702
Deschutes County (541) 388-9904
MS. LINDSAY ERIN HAMILTON LPC
Counselor (Mental Health)
205 SE DAVIS AVE
BEND, OR 97702
Deschutes County (319) 331-7065

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 Kneece's NPI number?

The NPI number for Kelly Kneece is 1790211191. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Kelly Kneece located?

Kelly Kneece practices at 205 SE Davis Ave, Bend, OR 97702. The listed phone number is (458) 206-1650.

What is Kelly Kneece's specialty?

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

Is Kelly Kneece enrolled in Medicare?

No. Kelly Kneece has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Kneece accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kelly Kneece 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 Kelly Kneece was last updated on December 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.