Individual provider Active NPI

Kelly Arthur, MS, NCC, LPC, CADC I

  • Counselor
  • Portland, OR
National Provider Identifier
1215387329
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C4 Issued in OR
Practice address
6124 SE Milwaukie Ave Ste 201
Portland, OR 97202-5347
Phone
(503) 752-5168
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C4 OR Primary

Addresses

Primary practice location

6124 SE Milwaukie Ave Ste 201
Portland, OR 97202-5347

Mailing address

6124 SE Milwaukie Ave Ste 201
Portland, OR 97202-5347
Phone (503) 752-5168

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C4ORMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1215387329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 SE MILWAUKIE AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025347",
            "telephone_number": "503-752-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 SE MILWAUKIE AVE STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025347",
            "telephone_number": "503-752-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "KELLY",
        "credential": "MS, NCC, LPC, CADC I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.