Kelsey Scampoli

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60435605 Issued in WA

Legal business name

KELSEY SCAMPOLI

Practice address

5019 Grove St Ste 103a
Marysville, WA 98270-4487

Phone

(360) 386-5611

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Kelsey Scampoli

Title

Owner

Phone

(360) 386-5611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1417356759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 GROVE ST STE 102",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704491",
            "telephone_number": "360-386-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 GROVE ST STE 103A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704487",
            "telephone_number": "360-386-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSEY SCAMPOLI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "SCAMPOLI",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-386-5611"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60435605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Keehn, DC
• William J. Kelleher, PH.D.
• Karen Kellett
• Kelly Howard Consulting
• Amanda Kelly, OTR
• Olga Vladimirovna Kennedy, MD
• Carol Kerr-Ragan, R.N.
• Debbie Ketchum, LMP
• Efrem T Kidane
• Amy Y Kim, PA-C

• Mental Health Counselor in Marysville, WA
• Providers in Marysville, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.