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Kelli Diane Bennett

Counselor - Professional β€’ Redmond, OR

Active NPI 1699320440 Individual Practitioner Female Practitioner
Practice location in NPPES

244 Nw Kingwood Ave
Redmond, OR 977561688

Call 5413227500 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

244 Nw Kingwood Ave

Redmond, OR 977561688

Telephone 5413227500
Fax 5413227565
Organization at the Same NPPES Address or Phone
Redmond Surgery Center, Llc Facility NPI 1831184019

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

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.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

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

Enrolled in Medicare (PECOS)

Kelli Bennett has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kelli Bennett as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Redmond and Oregon

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

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

Telehealth indicator in Redmond

4.2% of these 48 clinicians have the CMS telehealth indicator.

31.2% of these 48 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: 2026-01-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OR C7571
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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260204000855

Enrollment State Jurisdiction

OR

PECOS Control ID

8820576481

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Emma Anderson , LCSW

Social Worker - Clinical

NPI 1023459591

Licensed Clinical Social Worker

Brian Fulmer

Psychiatry & Neurology - Psychiatry

NPI 1033572573
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location January 05, 2026

Registered at 244 NW KINGWOOD AVE, REDMOND, OR 977561688 (Tel: 5413227500)

πŸ“
Updated Business Mailing Address January 05, 2026

Registered at 2577 NE COURTNEY DR, BEND, OR 977017752 (Tel: 5413227678)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Counselor (license number reported to NPPES: OR C7571)

πŸ“
Updated Practice Location April 10, 2025

Registered at 850 SW 4TH ST STE 302, MADRAS, OR 977419629 (Tel: 5414756575)

πŸ“
Updated Business Mailing Address April 10, 2025

Registered at 850 SW 4TH ST STE 302, MADRAS, OR 977419629 (Tel: 5414756575)

βœ…
NPI Profile Active August 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 08, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996 (Tel: 5036236818)

πŸ“
Business Mailing Address (Initial Record) August 08, 2019

Registered at 182 SW ACADEMY ST, DALLAS, OR 973381996

πŸ‘€
Provider Name / Credentials (Initial Record) August 08, 2019

Recorded as KELLI BENNETT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2019

Counselor

🟒
Initial NPI Registration & Enumeration August 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699320440
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2019
Last Update: January 05, 2026
Sole Proprietor: Yes

Mailing Address

2577 Ne Courtney Dr

Bend, OR 977017752

Phone: 5413227678

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.