JILL KELLY
NPI 1396292652
Counselor - Professional in Portland, OR
NPI Status: Active since September 04, 2016
Contact Information
1306 NW HOYT ST STE 407
PORTLAND, OR
ZIP 97209
Phone: (971) 407-3930
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
- PECOS Enrolled
About JILL KELLY
This page provides the complete NPI Profile along with additional information for Jill Kelly, 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 1396292652 assigned on September 2016. The practitioner's primary taxonomy code is 101YP2500X with license number C5967 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1396292652
- Provider Name
- JILL KELLY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1306 NW HOYT ST STE 407 PORTLAND, OR 97209
- Location Phone
- (971) 407-3930
- Mailing Address
- PO BOX 34703 SEATTLE, WA 98124
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-04-2016
- Last Update Date
- 09-10-2024
- Code Navigator
Location Map
Secondary Locations
- 4445 SW Barbur Blvd
Portland, OR 97239
(503) 768-6325
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.
- C5967
- 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 |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- 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
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6200 Individual and Family Network - 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
Jill Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JILL KELLY
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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 | 3 | 9 | 6 | 2 | 9 | 2 | 6 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 4 | 9 | 4 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 4 + 9 + 4 + 6 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1396292652 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477854750 | ANN MARIE MCHENRY MA, LMFT Individual | Marriage & Family Therapist | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1467979914 | AWAKENED HEART PDX, LLC Organization | Clinic/Center (Adult Mental Health) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1578993887 | MR. KELSEY BURNHAM PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (978) 406-4164 |
| 1710711080 | OPTUM BEHAVIORAL CARE OF COLORADO, P.C. Organization | Counselor (Professional) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1477128866 | EMILEE GRACE HERINCKX MA Individual | Counselor (Professional) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1487138178 | JOSHUA RAPHAEL ATANASIO MSW Individual | Social Worker (Clinical) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (862) 216-8399 |
| 1962016220 | MELISSA BURNETT CSWA Individual | Social Worker (Clinical) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1528885936 | MARGARET AK JELINSKI MA Individual | Counselor (Professional) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1225845241 | ANNE AVGERIN Individual | Counselor (Professional) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
| 1134628571 | JENNA LEE BROWN ALBRIGHT RN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1306 NW HOYT ST STE 407 PORTLAND, OR 97209 (971) 407-3930 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396292652, enumerated in the NPI registry as an "individual" on September 04, 2016
The provider is located at 1306 Nw Hoyt St Ste 407 Portland, Or 97209 and the phone number is (971) 407-3930
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on September 04, 2016. 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.