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NICOLE H. KENNELLY
NPI 1841031440
Counselor - Mental Health in Tigard, OR

Active since June 05, 2024
6975 SW SANDBURG ST STE 100, TIGARD, OR 97223(971) 361-6834 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole H. Kennelly NPPES

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

NICOLE H. KENNELLY (NPI 1841031440) is an individual mental health provider in Tigard, Oregon and active in the NPI registry since June 2024. She maintains a secondary practice location in Tigard.

NPPES Registry Identity

NPI1841031440
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE H. KENNELLY
Location Address6975 SW SANDBURG ST STE 100Tigard, OR 97223-8078
Mailing Address8527 Nw Ogden StPortland, OR 97231-1207 · (971) 361-6834
Phone(971) 361-6834
Sole ProprietorNo
Enumeration DateJune 5, 2024
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1841031440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6975 SW SANDBURG ST STE 100, Tigard, OR 97223
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Secondary Practice Location 1

Location 110580 SW McDonald StTigard, OR 97224-4867 · Phone (971) 242-4155

Other Providers at the Same Location NPPES

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

WEAVE COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
6975 SW SANDBURG ST STE 100
TIGARD, OR 97223
Washington County (971) 361-6834

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 Nicole Kennelly's NPI number?

The NPI number for Nicole Kennelly is 1841031440. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Nicole Kennelly located?

Nicole Kennelly practices at 6975 SW Sandburg St Ste 100, Tigard, OR 97223. The listed phone number is (971) 361-6834.

What is Nicole Kennelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Kennelly was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.