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Deactivated NPI 1124369145 Deactivated / Inactive NPI Female Practitioner

Kailah Nettle

Counselor • Seattle, 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, Kailah Nettle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 15, 2013
NPI Deactivation Date February 20, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Kailah Nettle was a registered Counselor practicing in Seattle, WA. Throughout an active medical career spanning 7 years, Kailah Nettle provided care at the practice location at 6908 30TH AVE S until profile deactivation on 2020-02-20.

Practice Location & Contact Primary Location

Practice Address

6908 30th Ave S

Seattle, WA 981083768

Telephone 2069301548
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2306 Specialists

Practicing in Seattle, WA (11556 Statewide)

Telehealth Adoption Rate
0.2% 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: 2021-02-11
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG60334301

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.

Practice Associates & Co-Workers

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

38 Associated Practitioners
Sarah Shallit

Counselor

NPI 1003157033
Joana Bednar

Counselor

NPI 1013314327
NPI 1043631880
NPI 1073934816
Janelle Deane

Counselor

NPI 1144640426
NPI 1164763116

Master of Education, Board Certified Behavior Analyst

Career & Practice History Timeline

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

12 Historical Events
NPI Profile Active February 11, 2021

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2021

Registered at 6908 30TH AVE S, SEATTLE, WA 981083768 (Tel: 2069301548)

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Updated Business Mailing Address February 11, 2021

Registered at 12430 83RD AVE S, SEATTLE, WA 981784918

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Provider Name / Credentials Updated February 11, 2021

Recorded as KAILAH NETTLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2021

Counselor (License #CG60334301 in WA)

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NPI Profile Deactivated February 20, 2020

Record deactivated on February 20, 2020

NPI Profile Active March 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2013

Registered at 6908 30TH AVE S, SEATTLE, WA 981083768 (Tel: 2069301548)

📍
Updated Business Mailing Address March 15, 2013

Registered at 12430 83RD AVE S, SEATTLE, WA 981784918

👤
Provider Name / Credentials Updated March 15, 2013

Recorded as KAILAH NETTLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2013

Counselor (License #CG60334301 in WA)

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Initial NPI Registration & Enumeration March 15, 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: 1124369145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2013
Last Update: February 11, 2021
Deactivation Date: February 20, 2020
Sole Proprietor: No

Mailing Address

12430 83rd Ave S

Seattle, WA 981784918

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.