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KELLY PAMELA CACERES LPC
NPI 1992570956
Counselor - Mental Health in Lake Oswego, OR

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
4121 COBB WAY, LAKE OSWEGO, OR 97035(503) 896-2664 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Pamela Caceres Lpc NPPES

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

KELLY PAMELA CACERES LPC (NPI 1992570956) is an individual mental health provider in Lake Oswego, Oregon, licensed in Oregon (C7778) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992570956
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY PAMELA CACERESCredential: LPC
Location Address4121 COBB WAYLake Oswego, OR 97035-6560
Mailing Address4121 Cobb WayLake Oswego, OR 97035-6560 · (503) 896-2664
Phone(503) 896-2664
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1992570956 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 in OR · C7778
4121 COBB WAY, Lake Oswego, OR 97035
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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

Kelly Pamela Caceres Lpc 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 ID6800231796
PECOS Enrollment IDI20240301001321
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.

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 Caceres's NPI number?

The NPI number for Kelly Caceres is 1992570956. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Kelly Caceres located?

Kelly Caceres practices at 4121 Cobb Way, Lake Oswego, OR 97035. The listed phone number is (503) 896-2664.

What is Kelly Caceres's specialty?

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

Is Kelly Caceres enrolled in Medicare?

Yes. Kelly Caceres is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Caceres accept?

Health plans from Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Kelly Caceres 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 Caceres was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.