IndividualActive
Kelly Edens, BS
NPI 1063008415 · Counselor · Tigard, OR
Kelly Edens, BS is a Counselor provider in Tigard, OR (NPI 1063008415).
Provider details
- NPI number
- 1063008415
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11860 Sw Queen Elizabeth St
Tigard, OR 97224-2634
Phone: (503) 537-7588
Street-level locationGet directions
Mailing address
11860 Sw Queen Elizabeth St
Tigard, OR 97224-2634
Registry dates
- Enumerated
- 2020-12-18
- Last updated
- 2020-12-18
- Certified
- 2020-12-18
Frequently asked questions
- What is Kelly Edens's NPI number?
- Kelly Edens's National Provider Identifier (NPI) is 1063008415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Edens's specialty?
- Kelly Edens is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Edens located?
- Kelly Edens's practice location on file with NPPES is 11860 Sw Queen Elizabeth St, Tigard, OR 97224-2634.
- What is Kelly Edens's phone number?
- The practice phone number listed in the NPPES registry for Kelly Edens is (503) 537-7588.
- Is Kelly Edens's NPI active?
- Yes — Kelly Edens's NPI (1063008415) is active in the NPPES registry as of the last update on 2020-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.