MS. KERRY MICHELLE MICKEL QMHA-I
NPI 1790413821
Case Manager/Care Coordinator in Madras, OR

Q: What is Kerry Mickel's NPI number?

The NPI number for Kerry Mickel is 1790413821. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Q: What is Kerry Mickel's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Mickel was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 08, 2022

850 SW 4TH ST STE 302, MADRAS, OR 97741(541) 475-6575(541) 475-6196 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 30, 2022, Aug 8, 2022 (2 updates tracked since 2022).

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About Ms. Kerry Michelle Mickel Qmha-i NPPES

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

MS. KERRY MICHELLE MICKEL QMHA-I (NPI 1790413821) is an individual case manager/care coordinator provider in Madras, Oregon, licensed in Oregon (24-QMHA-I-004726) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1790413821

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMS. KERRY MICHELLE MICKELCredential: QMHA-I

Location Address850 SW 4TH ST STE 302Madras, OR 97741-9629

Mailing Address340 Nw 5th St Ste 203Redmond, OR 97756-1869 · (541) 516-4099 · Fax (541) 316-7422

Phone(541) 475-6575

Fax(541) 475-6196

Sole ProprietorNo

Enumeration DateAugust 8, 2022

Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1790413821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OR · 24-QMHA-I-004726

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 24-QMHA-I-004726 (OR)

Also ListedPeer SpecialistTaxonomy 175T00000X

850 SW 4TH ST STE 302, Madras, OR 97741

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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.

RACHEL CARA GILL PSS

Peer Specialist