Active NPI
Kelly Marie Trinklein
- Mental Health Counselor
- Brush Prairie, WA
National Provider Identifier
1356048003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 22410 NE Poyner Rd
Brush Prairie, WA 98606-6901 - Phone
- (360) 430-9059
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | WA | ||
| School Counselor | 101YS0200X | WA | ||
| Social Worker | 104100000X | |||
| School Social Worker | 1041S0200X | WA | ||
| Mental Health Counselor | 101YM0800X | WA | Primary |
Addresses
Primary practice location
22410 NE Poyner Rd
Brush Prairie, WA 98606-6901
Mailing address
22410 NE Poyner Rd
Brush Prairie, WA 98606-6901
Phone (360) 430-9059
Other names 1
- Kelly Marie Strickland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1356048003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22410 NE POYNER RD",
"city": "BRUSH PRAIRIE",
"state": "WA",
"postal_code": "986066901",
"telephone_number": "360-430-9059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22410 NE POYNER RD",
"city": "BRUSH PRAIRIE",
"state": "WA",
"postal_code": "986066901",
"telephone_number": "360-430-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINKLEIN",
"first_name": "KELLY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "STRICKLAND",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brush Prairie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.