Kelly Nicole Kaderlik, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61484890 Issued in WA

Practice address

435 W Bell St Ste B-2
Sequim, WA 98382-2916

Phone

(360) 207-4345

NPI assigned

Oct 16, 2018

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind PAGroup PAC ID 3577099621, 78 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  Mental Health, WA

  Medicare reassignment Care Compare group NPD
• Gothic Sage Therapy and Design PLLC

  • Mental Health Counselor
  • Everett, WA
  • NPI 1780489161
  NPD Authorized official
• Sequim Counseling LLC

  dba Get Better Counseling

  • Clinical Psychologist
  • Sequim, WA
  • NPI 1558865774

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1508332693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 LARIMER RD",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089727",
            "telephone_number": "360-340-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W BELL ST STE B-2",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983822916",
            "telephone_number": "360-207-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADERLIK",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61484890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan de Fuca Fitness LLC
• Jason Edward Judd, D.C.
• Brian L Juel, D.D.S.
• Catie Jung
• Jennifer Jurgensen, MS, CCC-SLP
• Carole S Kalahar, ARNP
• Sheryl Kalbach, MSW, LICSW
• Jinjoo Kang
• Heidi K Kanning, DDS MS
• Anne Leefeldt Kanters, PHD

• Mental Health Counselor in Sequim, WA
• Providers in Sequim, 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 Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.