SUSAN KELLIE (NPI# 1194265090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194265090 |
| Entity Type | Individual |
| Full Name | SUSAN KELLIE |
| Practice Address |
2139 Van Giesen St Richland WA 99354-2746 |
| Mailing Address |
5301 Tieton Dr Ste C Yakima WA 98908-3479 |
| Practice Telephone | 5099464645 |
| Practice Fax Number | 5099461398 |
| Mailing Telephone | 5099657100 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CG60172334 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679595169 | Susan Margaret Kellie | Internal Medicine | 163 Camino Alto, Corrales, NM 87048-7513 | 2006-07-24 |
| Street Address |
2139 VAN GIESEN ST |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538248083 | Catholic Family and Child Service | Community/Behavioral Health | 2139 Van Giesen St, Richland, WA 99354-2746 | 2006-11-03 |
| 1467090100 | Rosa Virgen | Nurse's Aide | 2139 Van Giesen St, Richland, WA 99354-2746 | 2019-12-12 |
| 1619435641 | Ali Marie Steel Montano | Nurse's Aide | 2139 Van Giesen St, Richland, WA 99354-2746 | 2019-03-08 |
| 1235694712 | Breanna J Porter | Social Worker | 2139 Van Giesen St, Richland, WA 99354-2746 | 2019-02-08 |
| 1568930964 | Nancy Santoyo | Counselor | 2139 Van Giesen St, Richland, WA 99354-2746 | 2018-11-05 |
| 1154898195 | Kylee Kk Arquero | Case Manager/Care Coordinator | 2139 Van Giesen St, Richland, WA 99354-2746 | 2018-10-29 |
| 1083192710 | Catherine P Schrijver | Marriage & Family Therapist | 2139 Van Giesen St, Richland, WA 99354-2746 | 2018-08-03 |
| 1235622895 | Raul Guardado Chavez | Case Manager/Care Coordinator | 2139 Van Giesen St, Richland, WA 99354-2746 | 2018-06-08 |
| 1093222556 | Carolyn Suzanne Berg | Social Worker | 2139 Van Giesen St, Richland, WA 99354-2746 | 2018-01-05 |
| 1326552738 | Aurora Leon | Case Manager/Care Coordinator | 2139 Van Giesen St, Richland, WA 99354-2746 | 2017-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353122 | Melissa Hess | Counselor | 315 Benham St, Richland, WA 99352-4441 | 2020-10-14 |
| 1841693561 | Joshua Cole | Counselor | 1175 Carondelet Dr., Richland, WA 99354-7752 | 2014-10-08 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1225303597 | Becki Ruggles | Counselor | 27995 Rochester Rd, Richland, MO 65556-8216 | 2012-03-20 |
| 1437468709 | Crystal Washington | Counselor | 1950 Keene Rd Bldg L, Richland, WA 99352-7752 | 2010-10-04 |
| 1528232717 | Carolynn Marie Alvord | Counselor | 8799 Gull Rd, #6, Richland, MI 49083-9100 | 2008-04-17 |
| 1225181779 | New Horizons Csb Stewart County C & A | Counselor | 504 Depot St, Richland, GA 31825-1015 | 2007-01-19 |
| 1023161577 | New Horizons Csb Redhill Adult Group | Counselor | Route 2 Box 626, Richland, GA 31825 | 2007-01-19 |
| 1952332439 | Michelle Brown | Counselor | 14 Georgie Ln, Richland, PA 17087-9745 | 2006-07-05 |
| 1457316291 | Ruth Ann Weber | Counselor | 214 Camden St, Richland, MO 65555 | 2006-04-17 |
| Find all providers in RICHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.