Wellness Bound Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WELLNESS BOUND MENTAL HEALTH LLC

Practice address

12999 S Macdonalds PL
Oregon City, OR 97045-7529

Phone

(541) 295-5172

Fax

(971) 362-4818

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Melissa Jean Kidby, PMHNP-BCNPI 1124427950

Title

Owner/Provider

Phone

(541) 295-5172

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Jean Kidby, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oregon City, OR
  • NPI 1124427950
  Medicare reassignment NPD Authorized official
• Janel Ann Harlan, CBCS

  • Physician Office Based Coding Specialist
  • Warrenton, OR
  • NPI 1205781499
  NPD (past)

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1235721085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971460159",
            "telephone_number": "971-368-1980",
            "fax_number": "541-550-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12999 S MACDONALDS PL",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457529",
            "telephone_number": "541-295-5172",
            "fax_number": "971-362-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 NE 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846937",
            "country_code": "US",
            "telephone_number": "541-295-5172",
            "fax_number": "866-868-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS BOUND MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "KIDBY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-295-5172",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124427950",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500788714",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902441959",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1902441959",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500832993",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1235721085",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357805",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500704924",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Cecile Weinstein, FNP-C
• Jana Weiss
• Kenneth Weizer, N.D.
• Gwen Welch, LICSW
• Nichole Jantette Wellman
• Kim A Wennhold, MD
• Jonathan Weseloh
• West Wellness LLC (First City Wellness)
• Kaitlin West
• Wendi Westbrook, LMT

• Psychiatric/Mental Health Nurse Practitioner in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.