Kelly Lafferty, MA, CMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

R5137 Issued in OR

Practice address

1991 NW Prickly Pear Dr
Hermiston, OR 97838-1019

Phone

(503) 662-7577

Fax

(971) 925-4850

NPI assigned

Oct 28, 2019

Last updated

Dec 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1619511169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 NW PRICKLY PEAR DR",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381019",
            "telephone_number": "503-662-7577",
            "fax_number": "971-925-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 NW PRICKLY PEAR DR",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381019",
            "telephone_number": "503-662-7577",
            "fax_number": "971-925-4850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6745 SW Hampton St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972238360",
            "country_code": "US",
            "telephone_number": "503-662-7577",
            "fax_number": "971-925-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "KELLY",
        "credential": "MA, CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2021-12-14",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R5137",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Professional Counselor in Oregon

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

Verify at the official NPI Registry.