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SEAN KELLY CADC I, CRM
NPI 1821456559
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since February 09, 2016
10564 SE WASHINGTON STREET, PORTLAND, OR 97216(971) 806-0571 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2020, Feb 9, 2016 (2 updates tracked since 2016).

About Sean Kelly Cadc I, Crm NPPES

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

SEAN KELLY CADC I, CRM (NPI 1821456559) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (20-07-07) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1821456559
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSEAN KELLYCredential: CADC I, CRM
Location Address10564 SE WASHINGTON STREETPortland, OR 97216
Mailing Address2318 Ne Martin Luther King Jr BlvdPortland, OR 97212-3715 · (503) 335-8611
Phone(971) 806-0571
Sole ProprietorYes
Enumeration DateFebruary 9, 2016
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1821456559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 20-07-07
Also ListedPeer SpecialistTaxonomy 175T00000X · License 16-CRM-008 (OR)
10564 SE WASHINGTON STREET, Portland, OR 97216
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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 Sean Kelly's NPI number?

The NPI number for Sean Kelly is 1821456559. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Sean Kelly located?

Sean Kelly practices at 10564 SE Washington Street, Portland, OR 97216. The listed phone number is (971) 806-0571.

What is Sean Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Sean Kelly was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.