KAELI ANN CLARK CDP
NPI 1427397124
Counselor - Addiction (Substance Use Disorder) in Bellevue, WA

Q: What is Kaeli Clark's NPI number?

The NPI number for Kaeli Clark is 1427397124. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Q: What is Kaeli Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kaeli Clark was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 January 31, 2013

2025 112TH AVE NE STE 101, BELLEVUE, WA 98004(425) 462-8558(425) 462-8556 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kaeli Ann Clark Cdp NPPES

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

KAELI ANN CLARK CDP (NPI 1427397124) is an individual addiction (substance use disorder) provider in Bellevue, Washington, licensed in Washington (60295090) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1427397124

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKAELI ANN CLARKCredential: CDP

Location Address2025 112TH AVE NE STE 101Bellevue, WA 98004-2943

Mailing Address18015 Ne 159th StWoodinville, WA 98072-6130 · (206) 419-9168

Phone(425) 462-8558

Fax(425) 462-8556

Sole ProprietorYes

Enumeration DateJanuary 31, 2013

✔ NPI 1427397124 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 · 60295090

2025 112TH AVE NE STE 101, Bellevue, WA 98004

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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 Kaeli Clark's NPI number?

The NPI number for Kaeli Clark is 1427397124. It was assigned to this individual provider in the NPPES registry on January 31, 2013.

Where is Kaeli Clark located?

Kaeli Clark practices at 2025 112th Ave NE Ste 101, Bellevue, WA 98004. The listed phone number is (425) 462-8558.

What is Kaeli Clark'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 Kaeli Clark was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.