KELLY A BURGESS – Mental Health Counselor, NPI 1245582196

Mental Health Counselor

KELLY A BURGESS is a healthcare provider. based in Portland, Oregon. specializing in Mental Health Counselor. The NPI Number for KELLY A BURGESS is 1245582196

Main info

Female

7 Years Of Experience

Accepts Medicare Assignment

Name

KELLY A BURGESS

NPI

1245582196

Phone

(503) 238-0769

Address

PO BOX 8459

Enumeration Date

2 October 2012

Last Update Date

11 January 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5036453581

Graduation Year

2019 (7 years ago)

PAC ID

3577994086

Group Practice PAC ID

1850282575

Professional Enrollment ID

I20200518002280

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience31

Completeness75

Years active:13State licenses:0Digital endpointsOther names

Provider Addresses for KELLY A BURGESS

PO BOX 8459
PORTLAND, OR 972078459
Phone: (503) 238-0769
Type: Mailing
847 NE 19TH AVE
SUITE 1000
PORTLAND, OR 972322684
Phone: (503) 238-0769
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1850282575View full group profile

Name	Specialty	State
IAN RICHARD STARR (M.D.)	P S Y C H I A T R Y	OR
KIRSTEN ELISSA BRAUDT	Mental Health Counselor	OR
MEGAN BETH INMAN	Mental Health Counselor	OR
CHER YAO CHEN (MD)	-	OR
MR. JONATHAN RYAN FORDYCE (FNP-C)	Nurse Practitioner	OR
CASEY ELLEN LAMARCA-ELKINS (LCSW)	Clinical Social Worker	NY
MICHELLE DE OLIVEIRA (OTD)	Occupational Therapist In Private Practice	OR
DANIEL BRINKMAN	Clinical Social Worker	OR
MRS. ANGELA MARIE ABOUSAMRA (LMSW, LBS-PA)	Clinical Social Worker	OR
DR. J TERESA SHELBY (MD)	-	OR

Reviews

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Frequently asked questions

Does KELLY A BURGESS share an NPI with anyone else?

NPI numbers are unique to each provider or organization — KELLY A BURGESS uses 1245582196.

Does the file indicate KELLY A BURGESS is practicing under active NPI?

Directory data currently reports KELLY A BURGESS as active.

What healthcare role does KELLY A BURGESS hold?

Scheduling teams often label KELLY A BURGESS under Mental Health Counselor. Clinical services aligned with this taxonomy classification.

What address line appears for KELLY A BURGESS?

KELLY A BURGESS's geographic hint is Portland, Oregon in our summary view.

Why does KELLY A BURGESS have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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