Kelli J George

Primary specialty

CounselorTaxonomy code 101Y00000X

License

RC00054980 Issued in WA

Practice address

934 S Garfield Rd
Airway Heights, WA 99001-9030

Phone

(509) 789-7622

Fax

(509) 789-7659

NPI assigned

Jul 18, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kalispel Indian Community of the Kalispel Reservation Washington

  • Land Ambulance
  • Usk, WA
  • NPI 1053800417
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1003016056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S GARFIELD RD",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019030",
            "telephone_number": "509-789-7622",
            "fax_number": "509-789-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S GARFIELD RD",
            "city": "AIRWAY HEIGHTS",
            "state": "WA",
            "postal_code": "990019030",
            "telephone_number": "509-789-7622",
            "fax_number": "509-789-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KELLI",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60117629",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00054980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Dussell, RN
• Alison Alvarez Everton, LMT
• Bradley James Eylar, CDP
• Krystina Felix, LICSW
• Ashley Marie Gaddy, PHARMD
• Joel M Green, LMP
• Lenora R Hamrick, RN
• Haley N Hanson, MSW
• Amy Leeann Hensley, LMP
• Alan Stanley Jackson

• Counselor in Airway Heights, WA
• Providers in Airway Heights, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.