MS. ROBIN KELLETT M.ED.,CAGS,LPC,LMHC
NPI 1003975202
Counselor - Professional in Portland, OR
NPI Status: Active since December 06, 2006
Contact Information
4531 SE BELMONT ST STE 204
PORTLAND, OR
ZIP 97215
Phone: (978) 394-0880
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About ROBIN KELLETT
This page provides the complete NPI Profile along with additional information for Robin Kellett, a provider established in Portland, Oregon with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1003975202 assigned on December 2006. The practitioner's primary taxonomy code is 101YP2500X with license number C3166 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1003975202
- Provider Name
- MS. ROBIN KELLETT M.ED.,CAGS,LPC,LMHC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215
- Location Phone
- (978) 394-0880
- Mailing Address
- 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215
- Mailing Phone
- (978) 394-0880
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-06-2006
- Last Update Date
- 12-06-2024
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Robin Kellett opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C3166
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LMHC6588 (MA) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | LH60582281 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Signature Network - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for MS. ROBIN KELLETT M.ED.,CAGS,LPC,LMHC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 9 | 7 | 5 | 2 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 18 | 7 | 10 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 8 + 7 + 1 + 0 + 2 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1003975202 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205502473 | NORA MICHEL HARRINGTON LMFTA Individual | Marriage & Family Therapist | 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215 (503) 877-5189 |
| 1336815513 | AWAKE TOGETHER Organization | Clinic/Center (Adult Mental Health) | 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215 (503) 877-5189 |
| 1750040655 | HERE AND NOW COUNSELING Organization | Clinic/Center (Adult Mental Health) | 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215 (503) 436-5951 |
| 1972025195 | SONIA HOLDAWAY LPC INTERN Individual | Counselor (Professional) | 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215 (503) 442-7912 |
| 1265259394 | CASUAL THERAPY LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215 (707) 210-2734 |
| 1891089595 | MS. JENNIFER MARIE NAVARRO LMHC, LPC Individual | Counselor (Mental Health) | 4531 SE BELMONT ST STE 204 PORTLAND, OR 97215 (360) 358-3304 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003975202, enumerated in the NPI registry as an "individual" on December 06, 2006
The provider is located at 4531 Se Belmont St Ste 204 Portland, Or 97215 and the phone number is (978) 394-0880
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: Moda Health Plan, Inc., Providence Health Plan and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on December 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.