IndividualActive
Kelley Story, LADC, CCS
NPI 1194862821 · Addiction (Substance Use Disorder) Counselor · Lebanon, OR
Provider details
- NPI number
- 1194862821
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC, CCS
- Sex
- Female
- Sole proprietor
- No
- License
- 13-R-34 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
100 Mullins Dr Ste C2
Lebanon, OR 97355-2868
Phone: (541) 451-6388
Street-level locationGet directions
Mailing address
100 Mullins Dr Ste C2
Lebanon, OR 97355-2868
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2018-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.