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KELLY O'CONNOR LMHC, NCC
NPI 1346924180
Counselor - Mental Health in Lake Tapps, WA

Active since June 12, 2023PECOS Enrolled
6226 213TH AVENUE CT E, LAKE TAPPS, WA 98391(253) 455-0931 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2026, Jun 12, 2023 (2 updates tracked since 2023).

About Kelly O'connor Lmhc, Ncc NPPES

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

KELLY O'CONNOR LMHC, NCC (NPI 1346924180) is an individual mental health provider in Lake Tapps, Washington, licensed in Washington (LH70042266) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346924180
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY O'CONNORCredential: LMHC, NCC
Location Address6226 213TH AVENUE CT ELake Tapps, WA 98391-6134
Mailing Address6226 213th Avenue Ct ELake Tapps, WA 98391-6134 · (253) 455-0931
Phone(253) 455-0931
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 12, 2023
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1346924180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH70042266
6226 213TH AVENUE CT E, Lake Tapps, WA 98391
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 N Howard St Ste 5242Spokane, WA 99201-0508 · Phone (425) 678-2333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly O'connor Lmhc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608359708
PECOS Enrollment IDI20260317000113
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC
43 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

AUBREY LOUGH
Marriage & Family Therapist
6226 213TH AVENUE CT E
LAKE TAPPS, WA 98391
Pierce County (206) 814-1919
FREESIA THERAPY COLLECTIVE PLLC
Social Worker (Clinical)
6226 213TH AVENUE CT E
LAKE TAPPS, WA 98391
Pierce County (253) 455-0931
BRIANNA SCHOENEMAN CLINICAL INTERN
Counselor (Mental Health)
6226 213TH AVENUE CT E
LAKE TAPPS, WA 98391
Pierce County (206) 814-1919
NICOLE ANGELICA GRIMALDO LSWAIC
Social Worker (Clinical)
6226 213TH AVENUE CT E
LAKE TAPPS, WA 98391
Pierce County (206) 814-1919
MR. RYAN J. LINDSEY LICSW, SUDP
Social Worker (Clinical)
6226 213TH AVENUE CT E
LAKE TAPPS, WA 98391
Pierce County (347) 268-6975

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 O'connor's NPI number?

The NPI number for Kelly O'connor is 1346924180. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Kelly O'connor located?

Kelly O'connor practices at 6226 213th Avenue Ct E, Lake Tapps, WA 98391. The listed phone number is (253) 455-0931.

What is Kelly O'connor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly O'connor enrolled in Medicare?

Yes. Kelly O'connor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly O'connor reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly O'connor accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly O'connor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly O'connor was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.