| Robert Kelly, MA, CADC-I | |
|
178 Sw 2nd Ave, Canby, OR 97013-4152 | |
| (503) 416-4547 | |
| (503) 416-4553 |
| Full Name | Robert Kelly |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 178 Sw 2nd Ave, Canby, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891251286 | NPI | - | NPPES |
| 500764578 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neighborhood Health Center | 8426227893 | 28 |
| Entity Name | Neighborhood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174820815 PECOS PAC ID: 8426227893 Enrollment ID: O20110802000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Kelly, MA, CADC-I 178 Sw 2nd Ave, Canby, OR 97013-4152 Ph: (503) 848-5861 | Robert Kelly, MA, CADC-I 178 Sw 2nd Ave, Canby, OR 97013-4152 Ph: (503) 416-4547 |
Shelby Mckenzie Spade, Counselor Medicare: Medicare Enrolled Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Mackenzie Joy Bekedam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Shannon Rants, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1127 Ne 16th Ave, Canby, OR 97013 Phone: 303-552-7554 | |
Andrea R Christopher, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Dr. Unique Layshaun Page, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 N Elm St, Canby, OR 97013 Phone: 503-372-5147 Fax: 503-650-4302 | |
Sophia H Jones, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 | |
Chloe Merrifield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22018 S Central Point Rd, Canby, OR 97013 Phone: 503-221-4531 |