Active NPIIndividual provider

Kelly Beale

Counselor, Mental Health in Eugene, Oregon

NPI Number1215396445
Practice location
2222 Coburg RD Ste 100, Eugene, OR 97401-4988
Fax
458-210-2985
Last updated
February 16, 2016

Kelly Beale is a Counselor, Mental Health based in Eugene, OR. The NPI number for Kelly Beale is 1215396445. The current practice location address is 2222 Coburg RD Ste 100, Eugene, OR 97401-4988 and the office can be reached by phone at 458-210-2984 and by fax at 458-210-2985. The NPI was assigned on February 16, 2016 and the record was last updated in NPPES on February 16, 2016.

●Provider Profile Details

NPI Number
1215396445
Provider Name
Kelly Beale
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Enumeration Date
February 16, 2016
Last Update Date
February 16, 2016
NPI Status
Active

◉Business Practice Location Address

Address
2222 Coburg RD Ste 100
Eugene, OR 97401-4988
City
Eugene
State
Oregon
ZIP
97401-4988
Country
US
Phone Number
458-210-2984
Fax Number
458-210-2985

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✉Business Mailing Address

Address
3587 Heathrow Way
Medford, OR 97504-4004
City
Medford
State
OR
ZIP
97504-4004
Phone Number
206-713-9602

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kelly Beale?

The NPI number of Kelly Beale is 1215396445. It was assigned on February 16, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelly Beale?

Kelly Beale is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Kelly Beale practice?

The practice location is 2222 Coburg RD Ste 100, Eugene, OR 97401-4988. The office can be reached at 458-210-2984 (phone) or 458-210-2985 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215396445 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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