IndividualActive
Matia Kelly, LPC
NPI 1578956082 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1578956082
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- C5221 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
224 Ne 28th Ave
Portland, OR 97232-3148
Phone: (971) 251-0221
Street-level locationGet directions
Mailing address
224 Ne 28th Ave
Portland, OR 97232-3148
Additional practice locations (2)
- 2806 Ne Alameda StPortland, OR 97212-1620Phone: (971) 251-0221
- 2527 Ne Weidler StPortland, OR 97232-1648Phone: (971) 251-0221
Registry dates
- Enumerated
- 2015-03-07
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.