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ELICIA KELLAM
NPI 1619708567
Peer Specialist in Lacey, WA

Active since August 12, 2024
670 WOODLAND SQUARE LOOP SE STE 301, LACEY, WA 98503(360) 790-9109 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elicia Kellam NPPES

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

ELICIA KELLAM (NPI 1619708567) is an individual peer specialist in Lacey, Washington and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1619708567
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameELICIA KELLAM
Location Address670 WOODLAND SQUARE LOOP SE STE 301Lacey, WA 98503-1091
Mailing Address670 Woodland Square Loop Se Ste 301Lacey, WA 98503-1091 · (360) 790-9109
Phone(360) 790-9109
Sole ProprietorNo
Enumeration DateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
✔ NPI 1619708567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
670 WOODLAND SQUARE LOOP SE STE 301, Lacey, WA 98503
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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.

JAMES A DAHL
Peer Specialist
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 763-5828
ANDREW RODGERS
Peer Specialist
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 790-9109
HEATHER LURZ
Case Manager/Care Coordinator
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 763-5828
OLGA LIPSON
Counselor (Mental Health)
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 790-9109
ZSATASIA GREEN
Peer Specialist
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 790-9109
GRACE A CAROSSINO
Counselor (Mental Health)
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 763-5828
KENNETH J BAILEY
Peer Specialist
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 763-5828
RACHEL GOMEZ
Counselor (Mental Health)
670 WOODLAND SQUARE LOOP SE STE 301
LACEY, WA 98503
Thurston County (360) 763-5828

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 Elicia Kellam's NPI number?

The NPI number for Elicia Kellam is 1619708567. It was assigned to this individual provider in the NPPES registry on August 12, 2024.

Where is Elicia Kellam located?

Elicia Kellam practices at 670 Woodland Square Loop SE Ste 301, Lacey, WA 98503. The listed phone number is (360) 790-9109.

What is Elicia Kellam's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Elicia Kellam was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.