KELLY PHILLIPS CPC
NPI 1639894322
Peer Specialist in Ridgefield, WA

Active since October 05, 2022
21810 NE 37TH AVE, RIDGEFIELD, WA 98642(360) 980-2126 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Phillips Cpc NPPES

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

KELLY PHILLIPS CPC (NPI 1639894322) is an individual peer specialist in Ridgefield, Washington, licensed in Washington (CG61349318) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1639894322
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY PHILLIPSCredential: CPC
Location Address21810 NE 37TH AVERidgefield, WA 98642-7747
Mailing AddressPo Box 1299Battle Ground, WA 98604-1299 · (360) 980-2126
Sole ProprietorNo
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
NPI 1639894322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WA · CG61349318
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.
21810 NE 37TH AVE, Ridgefield, WA 98642

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 (Addiction (Substance Use Disorder))
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Counselor (Addiction (Substance Use Disorder))
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Peer Specialist
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Peer Specialist
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Peer Specialist
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Peer Specialist
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Counselor (Addiction (Substance Use Disorder))
21810 NE 37TH AVE
RIDGEFIELD, WA 98642
Peer Specialist
21810 NE 37TH AVE
RIDGEFIELD, WA 98642

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 Phillips's NPI number?

The NPI number for Kelly Phillips is 1639894322. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Kelly Phillips located?

Kelly Phillips practices at 21810 NE 37th Ave, Ridgefield, WA 98642. The listed phone number is (360) 980-2126.

What is Kelly Phillips'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 Kelly Phillips was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.