Kellie Renee Reynolds, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYC.PY.60706359 Issued in WA

Practice address

30 S Louisiana St Ste 224
Kennewick, WA 99336-9003

Phone

(509) 392-1190

Fax

(509) 769-0933

NPI assigned

Dec 11, 2012

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

Other names 1

• Mrs. Kellie Renee Edmonds Former name

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 and National Provider Directory roles.

• Integrated Behavioral Health Psychological Services, PLLC

  • Clinical Psychologist
  • Kalamazoo, MI
  • NPI 1295073393
  NPD (past)

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1306181748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S LOUISIANA ST STE 224",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369003",
            "telephone_number": "509-392-1190",
            "fax_number": "509-769-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S LOUISIANA ST STE 224",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993369003",
            "telephone_number": "509-392-1190",
            "fax_number": "509-769-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KELLIE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PSYC.PY.60706359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "EDMONDS",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "TLLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lizbeth Reyes Soto
• Alexandra Reyes-Herrera
• Ivan Javier Reyes-Rufo, D.O.
• Alma E Reyes
• Rubi Reyes
• Marla K Reynolds
• Sara Barbara Reynoso
• Shailey Rhoads
• Susan Elaine Rhode, L.M.P.
• Lance Randall Rhoten, DDS

• Clinical Psychologist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.