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KELLY SMITH MSW
NPI 1972055051
Counselor - Mental Health in Portland, OR

Active since October 25, 2016PECOS Enrolled
847 NE 19TH AVE, 100, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Smith Msw NPPES

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

KELLY SMITH MSW (NPI 1972055051) is an individual mental health provider in Portland, Oregon and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972055051
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY SMITHCredential: MSW
Location Address847 NE 19TH AVE, 100Portland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateOctober 25, 2016
✔ NPI 1972055051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
847 NE 19TH AVE, Portland, OR 97232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Smith Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769

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 Smith's NPI number?

The NPI number for Kelly Smith is 1972055051. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Kelly Smith located?

Kelly Smith practices at 847 NE 19th Ave 100, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Kelly Smith's specialty?

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

Is Kelly Smith enrolled in Medicare?

Yes. Kelly Smith is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Smith accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kelly Smith 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 Smith was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.