KELSEY TRICKLER - NPI 1164298162 - Peer Specialist in Longview, WA

Q: What is Kelsey Trickler's NPI number?

The NPI number for Kelsey Trickler is 1164298162. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Q: What is Kelsey Trickler's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Trickler was last updated on November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelsey Trickler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY TRICKLER (NPI 1164298162) is an individual peer specialist in Longview, Washington, licensed in Washington (CG61480250) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1164298162

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameKELSEY TRICKLER

Location Address1400 COMMERCE AVELongview, WA 98632-3756

Mailing AddressPo Box 2394Longview, WA 98632-8455 · (360) 200-5419 · Fax (360) 200-6736

Phone(360) 998-2047

Fax(360) 200-6736

Sole ProprietorNo

Enumeration DateNovember 30, 2023

NPPES CertifiedNovember 30, 2023

✔ NPI 1164298162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WA · CG61480250

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1400 COMMERCE AVE, Longview, WA 98632

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHARECE TEVIS CADWELL BS, R-AAC

Counselor