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KELLY MARIE KOELSCH RADT1
NPI 1417611666
Counselor - Addiction (Substance Use Disorder) in Placerville, CA

Active since October 25, 2021
2844 COLOMA ST, PLACERVILLE, CA 95667(530) 626-9240 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Koelsch Radt1 NPPES

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

KELLY MARIE KOELSCH RADT1 (NPI 1417611666) is an individual addiction (substance use disorder) provider in Placerville, California, licensed in California (R1447681021) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417611666
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY MARIE KOELSCHCredential: RADT1
Location Address2844 COLOMA STPlacerville, CA 95667-4406
Mailing Address2844 Coloma StPlacerville, CA 95667-4406 · (530) 626-9240
Phone(530) 626-9240
Sole ProprietorNo
Enumeration DateOctober 25, 2021
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1417611666 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 CA · R1447681021
2844 COLOMA ST, Placerville, CA 95667
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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.

RACHEL BODE-KESLER RASI
Specialist
2844 COLOMA ST, 19
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
SHAWNA MARIE DAVIDS
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
MATTHEW COLMAN MCCLUSKEY RADT-1
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 333-9460
MR. THOMAS MATHEW LAMBDIN
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
PROGRESS HOUSE, INC.
Substance Abuse Rehabilitation Facility
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
HEATHER RAIN BLACKBURN RADT
Counselor
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 644-3758
STEPHANIE J SCHMIDT
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 626-9240
TIM REX CHRISTNER RADT-1
Counselor (Addiction (Substance Use Disorder))
2844 COLOMA ST
PLACERVILLE, CA 95667
El Dorado County (530) 642-1715

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 Koelsch's NPI number?

The NPI number for Kelly Koelsch is 1417611666. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Kelly Koelsch located?

Kelly Koelsch practices at 2844 Coloma St, Placerville, CA 95667. The listed phone number is (530) 626-9240.

What is Kelly Koelsch'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 Koelsch was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.