Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619104338 Individual Practitioner Female Practitioner

Kimberly Michelle Kelley , LPC

Counselor - Professional • Bend, OR

Professional Overview & Biography Verified Profile Summary

Kimberly Kelley, LPC is a registered healthcare professional specializing in Counselor - Professional in Bend, OR. Practice services are available at 15 SW COLORADO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Sw Colorado Ave
Ste. 130

Bend, OR 977021150

Telephone 5414803665
Fax 5415503887

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
214 Specialists

Practicing in Bend, OR (2601 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C1101

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Josie Juhasz , MACP

Counselor - Professional

NPI 1194736264
Jillian Sammon , LCSW

Social Worker - Clinical

NPI 1316218944

Licensed Clinical Social Worker

Meghan Flaherty , LCSW

Social Worker - Clinical

NPI 1427206986

Licensed Clinical Social Worker

Susan Middleton , LCSW

Social Worker - Clinical

NPI 1538170618

Licensed Clinical Social Worker

Kimberly Martin , LPC

Counselor - Professional

NPI 1578738746

Licensed Professional Counselor

Bonnie Snyder , LMT

Massage Therapist

NPI 1740308261

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2016

Registered at 15 SW COLORADO AVE, STE. 130, BEND, OR 977021150 (Tel: 5414803665)

📍
Updated Business Mailing Address July 19, 2016

Registered at PO BOX 1225, BEND, OR 977091225 (Tel: 5414803665)

👤
Provider Name / Credentials Updated July 19, 2016

Recorded as KIMBERLY KELLEY, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2016

Counselor (License #C1101 in OR)

🟢
Initial NPI Registration & Enumeration June 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619104338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2009
Last Update: July 19, 2016
Sole Proprietor: Yes

Mailing Address

Po Box 1225

Bend, OR 977091225

Phone: 5414803665

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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.