Makayla Kelly, RBT

Key facts

NPI

1396463451

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

299 N Columbia St
Milton Freewater, OR 97862-1368

Phone

(541) 276-6207

NPI assigned

Aug 16, 2022

Sex

Female

Sole proprietor

No

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.

• Community Counseling Solutions Addiction (Substance Use Disorder) Counselor · Heppner, OR · NPI 1578501771
  NPD (past) MENTAL HEALTH
• Community Counseling Solutions Community/Behavioral Health Agency · Pendleton, OR · NPI 1942975958
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 14, 2026.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1396463451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N HEATHERWILDE BLVD STE 340-350",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603757",
            "telephone_number": "512-305-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621368",
            "telephone_number": "541-276-6207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 N Heatherwilde Blvd Ste 340-350",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786603757",
            "country_code": "US",
            "telephone_number": "512-305-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MAKAYLA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Milton Freewater, OR · Behavior Technician in Oregon