KY'AN KELLY
NPI 1992044416
Counselor in Roseburg, OR

Active since February 04, 2013
612 SE JACKSON ST STE 11, ROSEBURG, OR 97470(541) 464-6455 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ky'an Kelly NPPES

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

KY'AN KELLY (NPI 1992044416) is an individual counselor in Roseburg, Oregon and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1992044416
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKY'AN KELLY
Location Address612 SE JACKSON ST STE 11Roseburg, OR 97470-4956
Mailing Address612 Se Jackson St Ste 11Roseburg, OR 97470-4956
Sole ProprietorNo
Enumeration DateFebruary 4, 2013
NPI 1992044416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

612 SE JACKSON ST STE 11, Roseburg, OR 97470

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Counselor
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Counselor
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Counselor
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Counselor
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Counselor
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Counselor
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Social Worker (Clinical)
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470
Social Worker (Clinical)
612 SE JACKSON ST STE 11
ROSEBURG, OR 97470

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 Ky'an Kelly's NPI number?

The NPI number for Ky'an Kelly is 1992044416. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Where is Ky'an Kelly located?

Ky'an Kelly practices at 612 SE Jackson St Ste 11, Roseburg, OR 97470. The listed phone number is (541) 464-6455.

What is Ky'an Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Ky'an Kelly accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Ky'an Kelly 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 Ky'an Kelly was last updated on February 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.