Kelcie Lynn Eddy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

130 N Main St
Suite #1
Omak, WA 98841

Phone

(509) 557-0768

NPI assigned

Aug 13, 2013

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

Opted out of Medicare

Previously, effective Aug 13, 2024 through Aug 13, 2026

Medicare enrollment (NPD)

Not enrolled

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.

• Valley Counseling and Wellness PLLC

  • Mental Health Counselor
  • Omak, WA
  • NPI 1447071626
  NPD Authorized official
• Okanogan Behavioral Healthcare

  • Mental Health Counselor
  • Omak, WA
  • NPI 1154324929
  NPD (past)
• Mindcare Solutions of Texas PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1396290730
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1770916801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHN PETERSON RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419393",
            "telephone_number": "509-557-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "98841",
            "telephone_number": "509-557-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "KELCIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Delores Dolgner, A.R.N.P.
• Brianna Alexia Doty
• Amanda Doughty, MA
• Laurie Marie Duff, CRNA
• Kylie Rose Earle
• Clarence Jep Edwards, ARNP
• Merlin David Ekvall, D.D.S., M.S.
• Jennifer England, MD
• Maria Escobedo
• John Eskelson, L.AC.

• Mental Health Counselor in Omak, WA
• Providers in Omak, 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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.