Diane Claire Kelly, LMHC,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00006431 Issued in WA

Practice address

225 NW Lindvig Way
Suite 10
Poulsbo, WA 98370-6520

Phone

(360) 379-2830

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1871720177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NW LINDVIG WAY",
            "address_2": "SUITE 10",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706520",
            "telephone_number": "360-379-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NW LINDVIG WAY",
            "address_2": "SUITE 10",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706520",
            "telephone_number": "360-379-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DIANE",
        "middle_name": "CLAIRE",
        "name_prefix": "Ms.",
        "credential": "LMHC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Michael Kane, D.O.
• Karen Skidmore DPM PS
• Craig Duncan Karr, D.O.
• Kaylee Wonder DMD PLLC
• Brent Michael Kelln, PHD, MPT
• Ashley Marie Kennedy, MSW
• Kristin L Kennedy, LMHC
• Nathan P Kerestes, DO
• Anna Magdalena Kielak
• Shioon Kim, D.M.D

• Mental Health Counselor in Poulsbo, WA
• Providers in Poulsbo, 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 Jun 15, 2009; 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.