Individual provider · Type 1 NPI
Kerry Headley, LPC
Mental Health Counselor · Portland, OR
NPI number
1255254017
Active
Practice location
5802 SE Belmont St Apt 11
Portland, OR 97215-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C7855 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1255254017
Kerry Headley, LPC's National Provider Identifier is 1255254017, issued on Jul 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 30, 2026.