Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215345681 Individual Practitioner Male Practitioner

Clinton E Kittrell , MSW

Counselor - Mental Health • Pendleton, OR

Professional Overview & Biography Verified Profile Summary

Clinton Kittrell, MSW is a registered healthcare professional specializing in Counselor - Mental Health in Pendleton, OR. Practice services are available at 46314 TIMINE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

46314 Timine Way

Pendleton, OR 978019099

Telephone 5419669830
Fax 5412408410
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Pendleton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.2 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
145 Specialists

Practicing in Pendleton, OR (15536 Statewide)

Telehealth Adoption Rate
1.4% 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: 2020-04-15
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

State License OR L6482

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500681449 (OR)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cody Cimmiyotti

Peer Specialist

NPI 1003506429
NPI 1013107515

Doctor of Dental Medicine

Ian Sampson

Peer Specialist

NPI 1013403286
Amy Allen , RN

Registered Nurse

NPI 1013792696

Registered Nurse

Allan Jio

Pharmacist

NPI 1013928563
NPI 1033492822

Registered Pharmacist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location April 15, 2020

Registered at 46314 TIMINE WAY, PENDLETON, OR 978019099 (Tel: 5419669830)

📍
Updated Business Mailing Address April 15, 2020

Registered at 46314 TIMINE WAY, PENDLETON, OR 978019099 (Tel: 5419669830)

NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2015

Registered at 73265 CONFEDERATED WAY, PENDLETON, OR 978019099 (Tel: 5419669830)

📍
Updated Business Mailing Address February 11, 2015

Registered at 73265 CONFEDERATED WAY, PENDLETON, OR 978019099 (Tel: 5419669830)

👤
Provider Name / Credentials Updated February 11, 2015

Recorded as CLINTON KITTRELL, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Counselor (License #L6482 in OR)

🟢
Initial NPI Registration & Enumeration July 29, 2014

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: 1215345681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2014
Last Update: April 15, 2020
Sole Proprietor: No

Mailing Address

46314 Timine Way

Pendleton, OR 978019099

Phone: 5419669830

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.