Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720646706 Individual Practitioner Female Practitioner

Kellie Cleaver

Counselor - Professional • Dallas, OR

Professional Overview & Biography Verified Profile Summary

Kellie Cleaver is a registered healthcare professional specializing in Counselor - Professional in Dallas, OR. Practice services are available at 182 SW ACADEMY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

182 Sw Academy St

Dallas, OR 973381996

Telephone 5036239289
Associated Practice Facility / Clinic
🏢 Polk County Mental Health Facility NPI 1154447068

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dallas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Dallas, OR (2601 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-11-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C7151

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jessica Davidson

Case Manager/Care Coordinator

NPI 1003355751
Rachel Huntley , BS

Psychologist - Intellectual & Developmental Disabilities

NPI 1003935446

Bachelor of Science

Larry Vuylsteke

Social Worker

NPI 1013128560
NPI 1013130137
Jedonne Jorstad , BA

Counselor - Mental Health

NPI 1013132893

Bachelor of Arts

Zachary Beeler

Counselor - Mental Health

NPI 1013525542

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 04, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 04, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036239289)

📍
Updated Business Mailing Address June 04, 2019

Registered at 643 NW 10TH ST, CORVALLIS, OR 973306111 (Tel: 9714092043)

👤
Provider Name / Credentials Updated June 04, 2019

Recorded as KELLIE CLEAVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2019

Counselor

🟢
Initial NPI Registration & Enumeration June 04, 2019

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: 1720646706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2019
Last Update: November 27, 2024
Sole Proprietor: Yes

Mailing Address

643 Nw 10th St

Corvallis, OR 973306111

Phone: 9714092043

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.