IndividualActive
Kelly Ricketts, QMHP
NPI 1205117850 · Mental Health Counselor · Newport, OR
Provider details
- NPI number
- 1205117850
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- QMHP
- Sex
- Female
- Sole proprietor
- No
- License
- 234820 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
51 Sw Lee St
Newport, OR 97365-3823
Phone: (541) 574-5960
Fax: (541) 265-0601
Street-level locationGet directions
Mailing address
Po Box 542
Waldport, OR 97394-0542
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2016-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.