What is Jack Kelley's NPI number?

Jack Kelley's National Provider Identifier (NPI) is 1265873343, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Kelley's specialty?

Jack Kelley is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Jack Kelley located?

Jack Kelley's practice location on file with NPPES is 1027 E Burnside St, Portland, OR 97214-1328.

What is Jack Kelley's phone number?

The practice phone number listed in the NPPES registry for Jack Kelley is (503) 239-8400.

Is Jack Kelley's NPI active?

Yes — Jack Kelley's NPI (1265873343) is active in the NPPES registry as of the last update on 2013-12-17.

IndividualActive

Jack Kelley, L.P.C.

NPI 1265873343 · Mental Health Counselor · Portland, OR

Jack Kelley, L.P.C. is a Mental Health Counselor provider in Portland, OR (NPI 1265873343).

Provider details

NPI number: 1265873343
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: L.P.C.
Sex: Male
Sole proprietor: No
License: C3282 (OR)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense C3282 (OR)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 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

1027 E Burnside St

Portland, OR 97214-1328

Phone: (503) 239-8400

Fax: (503) 239-8406

Street-level locationGet directions

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Mailing address