KELSEY LYNN BREEDLOVE
NPI 1417714684
Counselor - Addiction (Substance Use Disorder) in Forks, WA

Active since March 04, 2024
530 BOGACHIEL WAY, FORKS, WA 98331(360) 374-5011 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Lynn Breedlove NPPES

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

KELSEY LYNN BREEDLOVE (NPI 1417714684) is an individual addiction (substance use disorder) provider in Forks, Washington, licensed in Washington (CO61552805) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1417714684
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELSEY LYNN BREEDLOVE
Location Address530 BOGACHIEL WAYForks, WA 98331-9120
Mailing Address530 Bogachiel WayForks, WA 98331-9120 · (360) 374-5011
Sole ProprietorNo
Enumeration DateMarch 4, 2024
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
NPI 1417714684 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 · CO61552805
530 BOGACHIEL WAY, Forks, WA 98331

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.

Physical Therapist
530 BOGACHIEL WAY
FORKS, WA 98331
Counselor (Mental Health)
530 BOGACHIEL WAY
FORKS, WA 98331
Nurse Practitioner (Critical Care Medicine)
530 BOGACHIEL WAY
FORKS, WA 98331
Counselor (Mental Health)
530 BOGACHIEL WAY
FORKS, WA 98331
Counselor
530 BOGACHIEL WAY
FORKS, WA 98331
Counselor
530 BOGACHIEL WAY
FORKS, WA 98331
Counselor
530 BOGACHIEL WAY
FORKS, WA 98331
Counselor (Mental Health)
530 BOGACHIEL WAY
FORKS, WA 98331

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 Kelsey Breedlove's NPI number?

The NPI number for Kelsey Breedlove is 1417714684. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Kelsey Breedlove located?

Kelsey Breedlove practices at 530 Bogachiel Way, Forks, WA 98331. The listed phone number is (360) 374-5011.

What is Kelsey Breedlove'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 Kelsey Breedlove was last updated on May 21, 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.