Individual provider Active NPI

Chelsea Catherine Kelly, CRM

  • Peer Specialist
  • Bend, OR
National Provider Identifier
1316732779
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
25-CRM-4066 Issued in OR
Practice address
23 NW Greenwood Ave
Bend, OR 97703-2078
Phone
(541) 383-4293
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 25-CRM-4066 OR Primary

Addresses

Primary practice location

23 NW Greenwood Ave
Bend, OR 97703-2078

Mailing address

63170 Deschutes Market Rd Apt 255
Bend, OR 97701-8909
Phone (541) 640-3685

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

LicenseStateTypeSpecialty
25-CRM-4066ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pfeifer & Associates PastSince Apr 20, 2025 Accepting new patients
All Care Treatment Center PastSince Apr 20, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1316732779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63170 DESCHUTES MARKET RD APT 255",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018909",
            "telephone_number": "541-640-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032078",
            "telephone_number": "541-383-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHELSEA",
        "middle_name": "CATHERINE",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "25-CRM-4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.