Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kiersten Kelly

Individual provider Mental Health Counselor · NPI 1588153449

Kiersten Kelly is a Clinical Psychologist in Corvallis, Oregon. Qualified in 2022, 4 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2018
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Practice location Address checks out

850 SW 26th St
Corvallis, OR 97331-8624
Phone: (547) 768-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1411 Sw Morrison St Ste 310, Portland, OR 97205-1945 — (503) 352-2400

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1588153449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 7, 2018
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 97 a service is one billed item, such as a visit, a test or a procedure
Average patient age69

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Providence Health and Services Oregon

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1426 clinicians in the practice; 12 are shown here.

Other providers in Corvallis