Joshua Benjamin Kelso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16466 Issued in NC

Practice address

11211 SE 82ND Ave Ste O
Happy Valley, OR 97086-7641

Phone

(503) 722-6200

Fax

(503) 722-6545

NPI assigned

Jun 12, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Clackamas Office of County Auditor

  dba Centerstone

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Happy Valley, OR
  • NPI 1801142781
  NPD (past)

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1346135852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 KAEN RD STE 154",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454035",
            "telephone_number": "503-722-6200",
            "fax_number": "503-722-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 SE 82ND AVE STE O",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867641",
            "telephone_number": "503-722-6200",
            "fax_number": "503-722-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "JOSHUA",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Kanda, DC
• Kristi Keats, FNP-C
• Keith L Miller, OD, PC
• Keith Miller OD PC
• Carol Ann Keller, RPH
• Darcy Brook Kennedy, LCSW
• Holly Michelle Kiesz-Royer, SLP
• King Smile Dentistry LLC (King Smile Dentistry)
• Jamelle King
• Jacob Gabriel Kirkwood, PMHNP

• Mental Health Counselor in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.