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Kelly Diane Wright , LCSW

Counselor - Professional β€’ Eugene, OR

Active NPI 1639743669 Individual Practitioner Female Practitioner
Practice location in NPPES

115 W 8th Ave
Eugene, OR 974012961

Call 5415058168 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

115 W 8th Ave

Eugene, OR 974012961

Telephone 5415058168
Organization at the Same NPPES Address or Phone
Canusa Health Chiropractic Pc Facility NPI 1700320645

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eugene and Oregon

216 active clinicians are listed under Counselor - Professional with a practice address in Eugene, OR (2,559 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

3.7% of these 216 clinicians have the CMS telehealth indicator.

24.1% of these 216 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
05 (OR)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 06, 2024

Registered at 115 W 8TH AVE, EUGENE, OR 974012961 (Tel: 5415058168)

πŸ“
Updated Business Mailing Address December 06, 2024

Registered at 1741 E 25TH AVE, EUGENE, OR 974031806 (Tel: 5415569089)

πŸ‘€
Provider Name / Credentials Updated December 06, 2024

Recorded as KELLY WRIGHT, LCSW

βœ…
NPI Profile Active May 14, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 14, 2021

Registered at 2650 SUZANNE WAY, EUGENE, OR 974087319 (Tel: 5412283000)

πŸ“
Business Mailing Address (Initial Record) May 14, 2021

Registered at 2860 TENNYSON AVE APT 162, EUGENE, OR 974087604 (Tel: 5415569089)

πŸ‘€
Provider Name / Credentials (Initial Record) May 14, 2021

Recorded as KELLY WRIGHT, MSW, QMHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2021

Counselor

🟒
Initial NPI Registration & Enumeration May 14, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639743669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2021
Last Update: December 06, 2024
Sole Proprietor: Yes

Mailing Address

1741 E 25th Ave

Eugene, OR 974031806

Phone: 5415569089

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.