Individual provider Active NPI

Kelsey Betsaida Ornelas

  • Mental Health Counselor
  • Hillsboro, OR
National Provider Identifier
1780320572
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2920 SE Brookwood Ave Ste a
Hillsboro, OR 97123-8553
Phone
(971) 417-6054
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2920 SE Brookwood Ave Ste a
Hillsboro, OR 97123-8553

Mailing address

2920 SE Brookwood Ave Ste a
Hillsboro, OR 97123-8553

Other practice location 1

222 SE 8th Ave Ste 212
Hillsboro, OR 97123-4218
Phone (503) 866-7895

Other practice location 2

388 State St Ste 1100
Salem, OR 97301-3538
Phone (503) 908-6050

Other practice location 3

4145 SW Watson Ave Ste 350
Beaverton, OR 97005-2191
Phone (971) 417-6054

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raices de Bienestar CurrentSince Oct 27, 2024 Accepting new patients
Medicinal Innovations PastSince Mar 5, 2023 Accepting new patients

Locations

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

2920 SE Brookwood Ave
Ste A
Hillsboro, OR 97129
Phone (971) 417-6054

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1780320572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 SE BROOKWOOD AVE STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 SE BROOKWOOD AVE STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971238553",
            "telephone_number": "971-417-6054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE 8th Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234218",
            "country_code": "US",
            "telephone_number": "503-866-7895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "388 State St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013538",
            "country_code": "US",
            "telephone_number": "503-908-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4145 SW Watson Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970052191",
            "country_code": "US",
            "telephone_number": "971-417-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "KELSEY",
        "middle_name": "BETSAIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.