Active NPI
Kailey Janet Claggett, LPC
- Mental Health Counselor
- Corvallis, OR
National Provider Identifier
1316412067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C6267
- Practice address
- 4185 SW Research Way
Corvallis, OR 97333-1783 - Phone
- (541) 393-5983
- Fax
- (541) 393-5984
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R5500 | OR | |
| Mental Health Counselor | 101YM0800X | C6267 | OR | Primary |
Addresses
Primary practice location
4185 SW Research Way
Corvallis, OR 97333-1783
Mailing address
66 Club Rd Ste 120
Eugene, OR 97401-2439
Phone (541) 393-5983
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 |
|---|---|---|---|
| C6267 | OR | MD | Mental Health Counselor |
| R5500 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1316412067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 CLUB RD STE 120",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012439",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4185 SW RESEARCH WAY",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973331783",
"telephone_number": "541-393-5983",
"fax_number": "541-393-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAGGETT",
"first_name": "KAILEY",
"middle_name": "JANET",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-09",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R5500",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C6267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.