Dr. Katie Evans Kelley , PhD, CDP, RC, NCACII
Counselor • Beaverton, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Katie Kelley has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Katie Kelley, PhD, CDP, RC, NCACII was a registered Counselor practicing in Beaverton, OR. Throughout an active medical career spanning 13 years, Dr. Kelley provided care at the practice location at 19943 SW JETTE LN until profile deactivation on 2023-05-24.
Practice Location & Contact Primary Location
19943 Sw Jette Ln
Beaverton, OR 970062789
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Beaverton, OR
Practicing in Beaverton, OR (4551 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 24, 2023
NPI status registered as active in NPPES database
Registered at 19943 SW JETTE LN, BEAVERTON, OR 970062789 (Tel: 5037566117)
Registered at 19943 SW JETTE LN, BEAVERTON, OR 970062789 (Tel: 5037566117)
Recorded as KATIE KELLEY, PHD, CDP, RC, NCACII
Counselor (License #RC00048071 in WA)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Dr. Katie Kelley
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
19943 Sw Jette Ln
Beaverton, OR 970062789
Phone: 5037566117
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.