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KELLY BAO-UYEN PHAM
NPI 1639040967
Counselor - Mental Health in Renton, WA

Active since September 17, 2025
221 WELLS AVE S, RENTON, WA 98057(253) 833-7444 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Bao-uyen Pham NPPES

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

KELLY BAO-UYEN PHAM (NPI 1639040967) is an individual mental health provider in Renton, Washington and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1639040967
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY BAO-UYEN PHAM
Location Address221 WELLS AVE SRenton, WA 98057-2161
Mailing Address5305 Slade WayTukwila, WA 98188-2766 · (206) 769-8710
Phone(253) 833-7444
Sole ProprietorNo
Enumeration DateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
✔ NPI 1639040967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
221 WELLS AVE S, Renton, WA 98057
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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.

FRANCESCA MYHRVOLD
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
JANE NWANKWOOKOYE
Nurse Practitioner (Psychiatric/Mental Health)
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
HANNAH KRAJNIK
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
SUNDUS DIRIE
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
ERIKA WAITING
Counselor (Mental Health)
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
ARICA KINCHELOE
Case Manager/Care Coordinator
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
SILLVANNA ABDU
Counselor
221 WELLS AVE S
RENTON, WA 98057
King County (253) 833-7444
VICTORIA BRINIGAR MS, MHP, LMHC, CDPT
Counselor (Mental Health)
221 WELLS AVE S
RENTON, WA 98057
King County (206) 408-5373

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 Pham's NPI number?

The NPI number for Kelly Pham is 1639040967. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Where is Kelly Pham located?

Kelly Pham practices at 221 Wells Ave S, Renton, WA 98057. The listed phone number is (253) 833-7444.

What is Kelly Pham'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 Kelly Pham was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.