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Deactivated NPI 1861180366 Deactivated / Inactive NPI Female Practitioner

Kloe Jasmine Burrell

Peer Specialist • Olympia, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kloe Burrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2023
NPI Deactivation Date August 02, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Kloe Burrell was a registered Peer Specialist practicing in Olympia, WA. Throughout an active medical career spanning 1 years, Kloe Burrell provided care at the practice location at 1202 BLACK LAKE BLVD SW until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

1202 Black Lake Blvd Sw
Suite B

Olympia, WA 985027208

Telephone 3608788248
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Olympia, WA

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

Practicing in Olympia, 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: 2023-08-17
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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cindi Hammond

Counselor

NPI 1003322280
NPI 1003459454
NPI 1013258540
NPI 1013568815

SOCIALWORKER

NPI 1023351400
Scott Manley

Counselor

NPI 1023464229

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location August 17, 2023

Registered at 1202 BLACK LAKE BLVD SW, SUITE B, OLYMPIA, WA 985027208 (Tel: 3608788248)

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Updated Business Mailing Address August 17, 2023

Registered at 32216 BENBOW DR E, GRAHAM, WA 983389083 (Tel: 2533041214)

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Provider Name / Credentials Updated August 17, 2023

Recorded as KLOE BURRELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2023

Peer Specialist

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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active April 25, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 25, 2023

Registered at 7808 PACIFIC AVE UNIT 9, TACOMA, WA 984087039 (Tel: 8662400808)

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Updated Business Mailing Address April 25, 2023

Registered at 209 21ST AVE SW APT Q202, PUYALLUP, WA 983717803 (Tel: 2533041214)

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Provider Name / Credentials Updated April 25, 2023

Recorded as KLOE BURRELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2023

Behavior Technician

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Initial NPI Registration & Enumeration April 24, 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: 1861180366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2023
Last Update: August 17, 2023
Deactivation Date: August 02, 2023
Sole Proprietor: Yes

Mailing Address

32216 Benbow Dr E

Graham, WA 983389083

Phone: 2533041214

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.