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KELLY GRIMSLEY
NPI 1992163406
Counselor - Mental Health in Medford, OR

Active since January 29, 2016
3200 JUANIPERO WAY, MEDFORD, OR 97504(541) 816-4131(458) 226-2163 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2016, Jan 29, 2016 (2 updates tracked since 2016).

About Kelly Grimsley NPPES

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

KELLY GRIMSLEY (NPI 1992163406) is an individual mental health provider in Medford, Oregon, licensed in (PROFESSIONALLICENSE) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1992163406
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY GRIMSLEY
Location Address3200 JUANIPERO WAYMedford, OR 97504-8580
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 816-4131
Fax(458) 226-2163
Sole ProprietorNo
Enumeration DateJanuary 29, 2016
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
✔ NPI 1992163406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed · PROFESSIONALLICENSE
3200 JUANIPERO WAY, Medford, OR 97504
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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.

JENNIFER LYNN BURNETT CASTILLO
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
COLUMBIACARE SERVICES
Clinic/Center
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 858-8170
KARRYN DANIELLE OLSON
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
JUSTINE JEWEL COMPOMIZZI
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
MIZUKO TAKAMOTO
Massage Therapist
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
SARAH DEWOLF
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
MIRANDA J HEDGPETH
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131
BRODERICK R STATES
Counselor (Mental Health)
3200 JUANIPERO WAY
MEDFORD, OR 97504
Jackson County (541) 816-4131

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 Grimsley's NPI number?

The NPI number for Kelly Grimsley is 1992163406. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Where is Kelly Grimsley located?

Kelly Grimsley practices at 3200 Juanipero Way, Medford, OR 97504. The listed phone number is (541) 816-4131.

What is Kelly Grimsley'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 Kelly Grimsley was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.