Active NPI
Kelli N Mitchell, NCC
- Mental Health Counselor
- Oregon City, OR
National Provider Identifier
1154768257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 225812
- Practice address
- 15544 S Clackamas River Dr
Oregon City, OR 97045-9490 - Phone
- (503) 607-0520
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 225812 | IL | Primary |
Addresses
Primary practice location
15544 S Clackamas River Dr
Oregon City, OR 97045-9490
Mailing address
1701 SW Columbia St
506
Portland, OR 97201-2576
Phone (309) 531-3647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225812 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1154768257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 SW COLUMBIA ST",
"address_2": "506",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972012576",
"telephone_number": "309-531-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15544 S CLACKAMAS RIVER DR",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970459490",
"telephone_number": "503-607-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "KELLI",
"middle_name": "N",
"credential": "NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "225812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.