Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396180808 Individual Practitioner Female Practitioner

Kellie M Mann

Counselor • Bothell, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellie Mann is a certified Counselor practicing in Bothell, WA. With approximately 8 years of clinical experience since completing medical education in 2018, Kellie Mann delivers high-quality medical care to the local community at 1909 214TH ST SE STE 300.

Kellie Mann is affiliated with Pacmed Clinics and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1909 214th St Se Ste 300

Bothell, WA 980214418

Telephone 4254127200
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Bothell, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Bothell, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mann (8 Years) 8 Yrs
Bothell Specialty Average (8.0 Years) 8.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA LH61457270

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Hospital & Practice Group Affiliations

Pacmed Clinics

1909 214th St Se, Bothell, WA 980214418

Phone: 4254127200

Secondary Practice Locations

2708 Ne 14th Street, Suite 5, Butterfly Effects,

Pompano Beach, FL 33064

Phone: 8888809270

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Lauren Jentges , DPT

Physical Therapist

NPI 1043643885

Doctor of Physical Therapy

Dr. Parul Sharma , DO

Internal Medicine - Rheumatology

NPI 1093918971

Doctor of Osteopathic Medicine (D.O.)

Dr. Jody Rhoades , MD

Internal Medicine

NPI 1104851039

Doctor of Medicine (M.D.)

NPI 1104869429

Doctor of Medicine (M.D.)

Dr. Nha Ton , DO

Family Medicine

NPI 1114023553

Doctor of Osteopathic Medicine (D.O.)

Dr. Kerlan Wolsey , MD

Internal Medicine - Pulmonary Disease

NPI 1154419588

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 28, 2025

Registered at 1909 214TH ST SE STE 300, BOTHELL, WA 980214418 (Tel: 4254127200)

📍
Updated Business Mailing Address May 28, 2025

Registered at 1909 214TH ST SE STE 300, BOTHELL, WA 980214418 (Tel: 4254127200)

NPI Profile Active May 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2013

Registered at 2708 NE 14TH STREET, SUITE 5, BUTTERFLY EFFECTS,, POMPANO BEACH, FL 33064 (Tel: 8888809270)

📍
Updated Business Mailing Address May 10, 2013

Registered at 3333A S 6TH ST, MILWAUKEE, WI 532155101 (Tel: 4147632051)

👤
Provider Name / Credentials Updated May 10, 2013

Recorded as KELLIE MANN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2013

Behavior Analyst

🟢
Initial NPI Registration & Enumeration May 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396180808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2013
Last Update: May 28, 2025
Sole Proprietor: No

Mailing Address

1909 214th St Se Ste 300

Bothell, WA 980214418

Phone: 4254127200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.