KELLY GROVER LPC NPI 1528656493

NPI Information

NPI: 1528656493
Provider Name: KELLY GROVER, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9755 SW BARNES RD
PORTLAND, OR
ZIP 97225
Phone: (503) 444-4862
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Kelly Grover, LPC is a mental health counselor in Portland, OR. Kelly Grover, LPC NPI is 1528656493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9755 SW BARNES RD
PORTLAND, OR
ZIP 97225-651
Phone: (503) 444-4862

The enumeration date for this NPI number is 1/6/2021 and was last updated on 3/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	R6695	OREGON	No
2	101YM0800X	Counselor	Mental Health			No
3	101YM0800X	Counselor	Mental Health	C7297	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1528656493	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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