KELLY S PECK MA
NPI 1619017654
Counselor - Mental Health in Puyallup, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since February 07, 2007

325 E PIONEER AVE, PUYALLUP, WA 98372(253) 697-8400(253) 697-8590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly S Peck Ma NPPES

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

KELLY S PECK MA (NPI 1619017654) is an individual mental health provider in Puyallup, Washington, licensed in Washington (LH00005875) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1619017654

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY S PECKCredential: MA

Location Address325 E PIONEER AVEPuyallup, WA 98372

Mailing Address325 E Pioneer AvePuyallup, WA 98372 · (253) 697-8400 · Fax (253) 697-8590

Phone(253) 697-8400

Fax(253) 697-8590

Sole ProprietorNo

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1619017654 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 · LH00005875

325 E PIONEER AVE, Puyallup, WA 98372

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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 ›

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.

GENOA HEALTHCARE, LLC

Pharmacy (Long Term Care Pharmacy)

325 E PIONEER AVE, SUITE B-124
PUYALLUP, WA 98372

Pierce County (253) 770-7000

JEREMY THOMAS PAPE

Counselor