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

Mr. Jack Douglas Kelley, LPC

Individual provider Mental Health Counselor · NPI 1265873343

Mr. Jack Douglas Kelley, LPC is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2013.

Licensed in
OR
In the registry since
2013
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1027 E Burnside St
Portland, OR 97214-1328
Phone: (503) 239-8400
Fax: (503) 239-8406
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C3282 (OR)

Record details

NPI number1265873343
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESDecember 17, 2013

Other providers in Portland