Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shay Juniper Kelly, PHD

Individual provider Mental Health Counselor · NPI 1053902387

Dr. Shay Juniper Kelly, PHD is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3700 N Williams Ave
Portland, OR 97227-1441
Phone: (503) 281-4852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1053902387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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