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Active NPI 1316727613 Individual Practitioner Male Practitioner

Kristopher D Kelly

Peer Specialist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Kristopher Kelly is a registered healthcare professional specializing in Peer Specialist in Everett, WA. Practice services are available at 4526 FEDERAL AVE BLDG 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4526 Federal Ave Bldg 1

Everett, WA 982032132

Telephone 4253448102

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
180 Specialists

Practicing in Everett, WA (2660 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

Medical Specialties & State Licenses

CMS Verified: 2023-10-03
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Emily Kidd

Counselor

NPI 1003592221
Jenny Loofbourrow

Counselor - Mental Health

NPI 1013548619
Tracey Rainey , LMHC

Counselor - Mental Health

NPI 1013928217

Licensed Mental Health Counselor

Emma Moffat

Counselor

NPI 1023655917
Liz Han

Counselor

NPI 1033858709
Mike Diaz

Counselor - Mental Health

NPI 1043695877

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2023

Registered at 4526 FEDERAL AVE BLDG 1, EVERETT, WA 982032132 (Tel: 4253448102)

📍
Updated Business Mailing Address October 03, 2023

Registered at 4526 FEDERAL AVE BLDG 1, EVERETT, WA 982032132

👤
Provider Name / Credentials Updated October 03, 2023

Recorded as KRISTOPHER KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 03, 2023

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: 1316727613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2023
Last Update: October 03, 2023
Sole Proprietor: No

Mailing Address

4526 Federal Ave Bldg 1

Everett, WA 982032132

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.