Individual provider Active NPI

Kiri N. Horsey, MS, LPC

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1003137886
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2417 Issued in OR
Practice address
4455 NE Highway 20
Corvallis, OR 97330-9695
Phone
(541) 758-5946
Fax
(541) 750-1120
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2417 OR Primary

Addresses

Primary practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Mailing address

425 2ND Ave SW Ste 102
Albany, OR 97321-2483
Phone (541) 286-3209

Other identifiers 1

IdentifierTypeStateIssuer
500645437MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002838 OR Practitioner - Mental Health Counselor 7719321686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reclaim Life LLCGroup PAC ID 7416293493, 7 clinicians

Practice addresses (Care Compare)

425 2ND Ave SW
Suite 102
Albany, OR 97321-2483
Phone (541) 286-3209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C2417ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim Life, LLC CurrentSince Mar 5, 2025 Accepting new patients
Marion County CurrentSince Jan 6, 2024 Accepting new patients
Marion County CurrentSince Jan 6, 2024 Accepting new patients

Locations

425 2nd Ave SW
Ste 102
Albany, OR 97321
Phone (541) 286-3209

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003137886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 2ND AVE SW STE 102",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212483",
            "telephone_number": "541-286-3209",
            "fax_number": "541-704-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 NE HIGHWAY 20",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309695",
            "telephone_number": "541-758-5946",
            "fax_number": "541-750-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSEY",
        "first_name": "KIRI",
        "middle_name": "N.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500645437",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.