MADISON KETCHUM
NPI 1538894134
Counselor - Mental Health in Centralia, WA

Active since July 19, 2022
2428 W REYNOLDS AVE, CENTRALIA, WA 98531(360) 330-9044(360) 736-3139 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison Ketchum NPPES

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

MADISON KETCHUM (NPI 1538894134) is an individual mental health provider in Centralia, Washington and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1538894134
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON KETCHUM
Location Address2428 W REYNOLDS AVECentralia, WA 98531-4554
Mailing Address2428 W Reynolds AveCentralia, WA 98531-4554
Fax(360) 736-3139
Sole ProprietorNo
Enumeration DateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1538894134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2428 W REYNOLDS AVE, Centralia, WA 98531

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.

Counselor
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Counselor
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Registered Nurse
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Counselor (Mental Health)
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Social Worker (Clinical)
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Counselor
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Counselor (Mental Health)
2428 W REYNOLDS AVE
CENTRALIA, WA 98531
Counselor
2428 W REYNOLDS AVE
CENTRALIA, WA 98531

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 Madison Ketchum's NPI number?

The NPI number for Madison Ketchum is 1538894134. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Madison Ketchum located?

Madison Ketchum practices at 2428 W Reynolds Ave, Centralia, WA 98531. The listed phone number is (360) 330-9044.

What is Madison Ketchum's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Ketchum was last updated on July 19, 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.