Kellie L Collins

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R2813 Issued in OR

Practice address

5005 Meadows Rd Ste 405
Lake Oswego, OR 97035-4291

Phone

(971) 232-1120

Fax

(855) 750-2962

NPI assigned

Jan 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Senua Counseling Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Oswego, OR
  • NPI 1902324122
  NPD
• Senua Counseling Clinic

  • Clinical Social Worker
  • Lake Oswego, OR
  • NPI 1770425035
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1114265840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 MEADOWS RD STE 405",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354291",
            "telephone_number": "503-705-3009",
            "fax_number": "855-750-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 MEADOWS RD STE 405",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354291",
            "telephone_number": "971-232-1120",
            "fax_number": "855-750-2962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927032352",
            "country_code": "US",
            "telephone_number": "503-705-3009",
            "fax_number": "855-750-2962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "KELLIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R2813",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC22156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LPCC22156",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart Delos Cole, DO
• Brian Coleman, PT
• Susan Merie Colemer, A-GNP-C
• Colibri Chirorpractic Clinic
• Loriann Collepardi
• Michelle Ann Collins
• Community Compounding Pharmacy
• Concentra Health Services, Inc.
• Concetta M Antonelli LMT
• Isamar Conde Negron

• Mental Health Counselor in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.