Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164692455 Individual Practitioner Female Practitioner

Kelly Jene Mack , BS, CADCI

Case Manager/Care Coordinator • Salem, OR

Professional Overview & Biography Verified Profile Summary

Kelly Mack, BS, CADCI is a registered healthcare professional specializing in Case Manager/Care Coordinator in Salem, OR. Practice services are available at 3737 PORTLAND RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3737 Portland Rd Ne

Salem, OR 973010311

Telephone 5033902600
Associated Practice Facility / Clinic
🏢 Catholic Community Services Facility NPI 1548471543

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
373 Specialists

Practicing in Salem, OR (4272 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OR 05-11-34

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Carina Garibay

Community Health Worker

NPI 1003345315
Jill Sorensen , BS

Community/Behavioral Health

NPI 1013596147

Bachelor of Science

Edgar Llamas

Counselor - Mental Health

NPI 1023767563
Daniel Robancho Ostrowski

Marriage & Family Therapist

NPI 1043800766
Erica Moreno

Counselor - Mental Health

NPI 1043940489
Tracy Young

Respite Care - Respite Care, Mental Illness, Child

NPI 1073019436

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 10, 2019

Registered at 3737 PORTLAND RD NE, SALEM, OR 973010311 (Tel: 5033902600)

📍
Updated Business Mailing Address July 10, 2019

Registered at 3737 PORTLAND RD NE, SALEM, OR 973010311 (Tel: 5033902600)

👤
Provider Name / Credentials Updated July 10, 2019

Recorded as KELLY MACK, BS, CADCI

NPI Profile Active March 03, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2008

Registered at 627 NE EVANS ST, MCMINNVILLE, OR 971283923 (Tel: 5034347527)

📍
Updated Business Mailing Address March 03, 2008

Registered at 627 NE EVANS ST, MCMINNVILLE, OR 971283923 (Tel: 5034347527)

👤
Provider Name / Credentials Updated March 03, 2008

Recorded as KELLY LESMEISTER-COX, BS, CADCI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2008

Counselor (License #05-11-34 in OR)

🟢
Initial NPI Registration & Enumeration March 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164692455
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2008
Last Update: July 10, 2019
Sole Proprietor: No

Mailing Address

3737 Portland Rd Ne

Salem, OR 973010311

Phone: 5033902600

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.