KALEE-GLYNN MIKIKO FLOYD LMHCA
NPI 1407675747
Counselor - Mental Health in Vancouver, WA

Q: What is Kalee-glynn Floyd's NPI number?

The NPI number for Kalee-glynn Floyd is 1407675747. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Q: What is Kalee-glynn Floyd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kalee-glynn Floyd was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 03, 2024PECOS Enrolled

13505 NE 10TH AVE, VANCOUVER, WA 98685(360) 433-9664 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kalee-glynn Mikiko Floyd Lmhca NPPES

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

KALEE-GLYNN MIKIKO FLOYD LMHCA (NPI 1407675747) is an individual mental health provider in Vancouver, Washington, licensed in Washington (MC61555648) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407675747

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKALEE-GLYNN MIKIKO FLOYDCredential: LMHCA

Location Address13505 NE 10TH AVEVancouver, WA 98685-2711

Mailing Address655 W Columbia Way Ste 400Vancouver, WA 98660-3613

Phone(360) 433-9664

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 3, 2024

NPPES CertifiedOctober 3, 2024

✔ NPI 1407675747 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 · MC61555648

13505 NE 10TH AVE, Vancouver, WA 98685

Open in Google Maps ↗

Secondary Practice Location 1

Location 1655 W Columbia Way Ste 400Vancouver, WA 98660-3613 · Phone (360) 433-9664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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)

Kalee-glynn Mikiko Floyd Lmhca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981186301

PECOS Enrollment IDI20260305000119

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 Kalee-glynn Floyd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Refresh Therapy, Inc

Same address

Marriage & Family Therapist

13505 NE 10TH AVE
Vancouver, WA 98685

Reassigned Medicare billing, Washington enrollment
38 clinicians in this Medicare group

NPI 1225403454 (360) 433-9664

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 15

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

HANNAH JOSLIN LICSW

Social Worker (Clinical)