KELLY NICOLE KADERLIK LMHC
NPI 1508332693
Counselor - Mental Health in Sequim, WA

Q: What is Kelly Kaderlik's NPI number?

The NPI number for Kelly Kaderlik is 1508332693. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Q: What is Kelly Kaderlik'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 Kelly Kaderlik was last updated on February 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 16, 2018PECOS EnrolledAccepts Medicare Assignment

435 W BELL ST STE B-2, SEQUIM, WA 98382(360) 207-4345 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 8, 2024, Oct 16, 2018 (2 updates tracked since 2018).

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About Kelly Nicole Kaderlik Lmhc NPPES

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

KELLY NICOLE KADERLIK LMHC (NPI 1508332693) is an individual mental health provider in Sequim, Washington, licensed in Washington (LH61484890) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508332693

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY NICOLE KADERLIKCredential: LMHC

Location Address435 W BELL ST STE B-2Sequim, WA 98382-2916

Mailing Address7518 Larimer RdEverett, WA 98208-9727 · (360) 340-2762

Phone(360) 207-4345

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 16, 2018

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1508332693 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 · LH61484890

435 W BELL ST STE B-2, Sequim, WA 98382

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Nicole Kaderlik Lmhc 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 ID9436643095

PECOS Enrollment IDI20251210003910

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.

Other Providers at the Same Location NPPES 6

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

MS. AMYJOY VICTORIA SEDBERRY LMHCA

Counselor (Mental Health)