Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508525213 Individual Practitioner Female Practitioner

Kelcee Nikole Bristol

Peer Specialist • Long Beach, WA

Professional Overview & Biography Verified Profile Summary

Kelcee Bristol is a registered healthcare professional specializing in Peer Specialist in Long Beach, WA. Practice services are available at 2204 PACIFIC AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2204 Pacific Ave N

Long Beach, WA 986313300

Telephone 3606423787
Associated Practice Facility / Clinic
🏢 Willapa Counseling Center Facility NPI 1174570949

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Long Beach, WA

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

Practicing in Long Beach, 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: 2022-08-11
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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Secondary Practice Locations

2430 Nw Myhre Rd Ste 101

Silverdale, WA 983837669

Phone: 3603285050

Practice Associates & Co-Workers

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

40 Associated Practitioners
Phyllis Hintz , LMHC

Counselor - Mental Health

NPI 1023191814

Licensed Mental Health Counselor

Michael Yonko

Case Manager/Care Coordinator

NPI 1023876968
Taylor Ward

Case Manager/Care Coordinator

NPI 1033822978
Nicole Pearson

Case Manager/Care Coordinator

NPI 1033828678
Marcia Mendiola

Peer Specialist

NPI 1043993611
Alisabeth Buck , RN, MSW

Counselor - Mental Health

NPI 1053403345

Registered Nurse, Master of Social Work

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 11, 2022

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

📍
Updated Business Mailing Address August 11, 2022

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

NPI Profile Active December 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2021

Registered at 2430 NW MYHRE RD STE 101, SILVERDALE, WA 983837669 (Tel: 3603285050)

📍
Updated Business Mailing Address December 09, 2021

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807

👤
Provider Name / Credentials Updated December 09, 2021

Recorded as KELCEE BRISTOL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 09, 2021

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: 1508525213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2021
Last Update: August 11, 2022
Sole Proprietor: No

Mailing Address

2204 Pacific Ave N

Long Beach, WA 986313300

Phone: 3606423787

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.