Active NPI
Kelemental Health, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1922706803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KELEMENTAL HEALTH, PLLC
- Practice address
- 833 SW 11TH Ave Ste 915
Portland, OR 97205-2123 - Phone
- (360) 615-2780
- NPI assigned
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly Witbeck, DNP, APRN
- Title
- Owner
- Phone
- (503) 799-8679
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
833 SW 11TH Ave Ste 915
Portland, OR 97205-2123
Mailing address
833 SW 11TH Ave Ste 915
Portland, OR 97205-2123
Other practice location 1
101 Mill St Ste 200
Ridgefield, WA 98642-4529
Phone (360) 615-2780
National Provider Directory
National Provider DirectoryLocations
157 N 1st St
#102
Kalama, WA 98625
1404 NE 134th St
Ste 202
Vancouver, WA 98685
1087 Lewis River Rd
Woodland, WA 98674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779753600000",
"number": "1922706803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 SW 11TH AVE STE 915",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 SW 11TH AVE STE 915",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052123",
"telephone_number": "360-615-2780"
}
],
"practiceLocations": [
{
"address_1": "101 Mill St Ste 200",
"address_purpose": "LOCATION",
"city": "Ridgefield",
"state": "WA",
"postal_code": "986424529",
"country_code": "US",
"telephone_number": "360-615-2780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KELEMENTAL HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A",
"authorized_official_last_name": "WITBECK",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-799-8679",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.