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KELLIE M MANN
NPI 1396180808
Counselor in Bothell, WA

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
1909 214TH ST SE STE 300, BOTHELL, WA 98021(425) 412-7200 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kellie M Mann NPPES

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

KELLIE M MANN (NPI 1396180808) is an individual counselor in Bothell, Washington, licensed in Washington (LH61457270) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pompano Beach, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396180808
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLIE M MANN
Location Address1909 214TH ST SE STE 300Bothell, WA 98021-4418
Mailing Address1909 214th St Se Ste 300Bothell, WA 98021-4418 · (425) 412-7200
Phone(425) 412-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2013
Last NPPES UpdateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1396180808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · LH61457270
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
1909 214TH ST SE STE 300, Bothell, WA 98021
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Secondary Practice Location 1

Location 12708 NE 14th Street, Suite 5, Butterfly Effects,Pompano Beach, FL 33064 · Phone (888) 880-9270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie M Mann is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002327731
PECOS Enrollment IDI20250618002406
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 Kellie Mann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacmed Clinics
3.9 mi
Multi-Specialty
19401 40TH AVE W, SUITE 100
Lynnwood, WA 98036
  • Reassigned Medicare billing, Washington enrollment
  • 291 clinicians in this Medicare group
NPI 1477594356 (425) 744-7153

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 20

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

BERNADETH TAGLE GONZALES MD
Family Medicine
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
DR. NHA KE TON D.O.
Family Medicine
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
MARLENE J GRAVES FNP-C
Nurse Practitioner
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (206) 505-1040
DR. KERLAN PETER WOLSEY M.D.
Internal Medicine (Pulmonary Disease)
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
JULIA NADINE WILSON PA-C
Physician Assistant
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
XING FU MD
Anesthesiology (Pain Medicine)
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
MEGAN JONES
Physical Therapist
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200
STACY MICHELLE STORY MSW, LCSW, LICSW
Social Worker
1909 214TH ST SE STE 300
BOTHELL, WA 98021
Snohomish County (425) 412-7200

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 Kellie Mann's NPI number?

The NPI number for Kellie Mann is 1396180808. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Kellie Mann located?

Kellie Mann practices at 1909 214th St SE Ste 300, Bothell, WA 98021. The listed phone number is (425) 412-7200.

What is Kellie Mann's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kellie Mann enrolled in Medicare?

Yes. Kellie Mann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kellie Mann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Mann reassigns Medicare benefits to Pacmed Clinics (Lynnwood, 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 Kellie Mann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Mann accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kellie Mann 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 Kellie Mann was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.