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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Kaderlik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind, P.A.
1,482 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Sondermind PA
  • 92 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279

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 6

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

HEIDI HUST
Social Worker (Clinical)
435 W BELL ST STE B-2
SEQUIM, WA 98382
Clallam County (360) 912-7175
DOUGLAS G BLESSINGTON
Counselor (Mental Health)
435 W BELL ST STE B-2
SEQUIM, WA 98382
Clallam County (360) 207-4345
SEQUIM COUNSELING LLC
Psychologist (Clinical)
435 W BELL ST STE B-2
SEQUIM, WA 98382
Clallam County (360) 207-4345
MS. AMYJOY VICTORIA SEDBERRY LMHCA
Counselor (Mental Health)
435 W BELL ST STE B-2
SEQUIM, WA 98382
Clallam County (601) 260-0057
PAT VULK
Counselor (Mental Health)
435 W BELL ST STE B-2
SEQUIM, WA 98382
Clallam County (360) 912-7334
JENNIFER HORNBECK
Counselor (Mental Health)
435 W BELL ST STE B-2
SEQUIM, WA 98382
Clallam County (360) 207-4345

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 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.

Where is Kelly Kaderlik located?

Kelly Kaderlik practices at 435 W Bell St Ste B-2, Sequim, WA 98382. The listed phone number is (360) 207-4345.

What is Kelly Kaderlik's specialty?

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

Is Kelly Kaderlik enrolled in Medicare?

Yes. Kelly Kaderlik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Kaderlik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kaderlik reassigns Medicare benefits to Sondermind, P.A. (Wichita, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Kaderlik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kaderlik accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly Kaderlik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Kaderlik was last updated on February 8, 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.