ROBERT KELLY MA, CADC-I
NPI 1891251286
Counselor - Addiction (Substance Use Disorder) in Canby, OR

Q: What is Robert Kelly's NPI number?

The NPI number for Robert Kelly is 1891251286. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Q: What is Robert Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Kelly was last updated on March 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 11, 2019PECOS EnrolledAccepts Medicare Assignment

227 NW 3RD AVE, CANBY, OR 97013(503) 416-4547(503) 416-4553 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2026, Feb 11, 2019 (2 updates tracked since 2019).

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About Robert Kelly Ma, Cadc-i NPPES

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

ROBERT KELLY MA, CADC-I (NPI 1891251286) is an individual addiction (substance use disorder) provider in Canby, Oregon and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1891251286

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameROBERT KELLYCredential: MA, CADC-I

Location Address227 NW 3RD AVECanby, OR 97013-3640

Mailing Address7320 Sw Hunziker Rd Ste 300Portland, OR 97223-2302 · (503) 941-3033 · Fax (503) 747-7013

Phone(503) 416-4547

Fax(503) 416-4553

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 11, 2019

Last NPPES UpdateMarch 14, 20262 updates tracked since enumeration

NPPES CertifiedMarch 14, 2026

✔ NPI 1891251286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

227 NW 3RD AVE, Canby, OR 97013

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Other Identifiers 1

Medicaid500764578OR

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Kelly Ma, Cadc-i is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618325846

PECOS Enrollment IDI20231129001676

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

NEIGHBORHOOD HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))