Kelly Marie Stoltz, BA, CDP, NCACI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00005123 Issued in WA

Practice address

1305 Mansfield St Ste 5
Richland, WA 99352-3588

Phone

(509) 942-1624

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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 and National Provider Directory roles.

• Somerset Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Richland, WA
  • NPI 1467588582
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124240262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 CHEHALIS LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016731",
            "telephone_number": "509-528-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MANSFIELD ST STE 5",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523588",
            "telephone_number": "509-942-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZ",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BA, CDP, NCACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilson Pershing Stevenson III
• Aron Christian Steward, ARNP
• Danae C Stewart, LMP
• Peter Stewart, PH.D.
• Grant Stock
• Precious Alexandra Ravina Stone, PA-C
• John Stoneman, PA-C
• Katie M Storey, DMD
• Kristine F Stowe, LCSW
• Daniel W. Stowens, MD

• Addiction (Substance Use Disorder) Counselor in Richland, WA
• Providers in Richland, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.