KELLY KNITTLE
NPI 1164870267
Counselor - Addiction (Substance Use Disorder) in Olympia, WA

Active since May 31, 2016
4820 SHE-NAH-NUM DR. SE, OLYMPIA, WA 98520(360) 413-2727 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Knittle NPPES

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

KELLY KNITTLE (NPI 1164870267) is an individual addiction (substance use disorder) provider in Olympia, Washington, licensed in Washington (CP60523464) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1164870267
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY KNITTLE
Location Address4820 SHE-NAH-NUM DR. SEOlympia, WA 98520
Mailing Address4820 She Nah Num Dr SeOlympia, WA 98513-9105 · (360) 413-2727
Sole ProprietorYes
Enumeration DateMay 31, 2016
NPI 1164870267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60523464
4820 SHE-NAH-NUM DR. SE, Olympia, WA 98520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Knittle's NPI number?

The NPI number for Kelly Knittle is 1164870267. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Kelly Knittle located?

Kelly Knittle practices at 4820 She-Nah-Num Dr. SE, Olympia, WA 98520. The listed phone number is (360) 413-2727.

What is Kelly Knittle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Knittle was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.