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KELLY C WAYENBERG MC61350395
NPI 1639897051
Counselor - Mental Health in Yakima, WA

Active since August 22, 2022
1425 LAKESIDE CT, YAKIMA, WA 98902(509) 452-1000 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly C Wayenberg Mc61350395 NPPES

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

KELLY C WAYENBERG MC61350395 (NPI 1639897051) is an individual mental health provider in Yakima, Washington, licensed in Washington (MHCA.MC.61350395) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1639897051
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY C WAYENBERGCredential: MC61350395
Location Address1425 LAKESIDE CTYakima, WA 98902-7354
Mailing Address1425 Lakeside CtYakima, WA 98902-7354 · (509) 452-1000
Phone(509) 452-1000
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1639897051 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 · MHCA.MC.61350395
1425 LAKESIDE CT, Yakima, WA 98902
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OSCAR MARTINEZ SUDPT
Counselor (Addiction (Substance Use Disorder))
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 452-1000
NICOLE BARTOLINI
Counselor (Addiction (Substance Use Disorder))
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 452-1000
GREG RAPP AAC
Counselor (Addiction (Substance Use Disorder))
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 452-1000
RAPP PLLC
Nurse Practitioner (Family)
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 452-1000
TAWNY MICHELLE WINN
Counselor (Mental Health)
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 425-1000
JESSE DAVIS AAC
Counselor (Addiction (Substance Use Disorder))
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 452-1000
JESSICA MURPHY
Counselor (Addiction (Substance Use Disorder))
1425 LAKESIDE CT
YAKIMA, WA 98902
Yakima County (509) 452-1000

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 Wayenberg's NPI number?

The NPI number for Kelly Wayenberg is 1639897051. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Kelly Wayenberg located?

Kelly Wayenberg practices at 1425 Lakeside Ct, Yakima, WA 98902. The listed phone number is (509) 452-1000.

What is Kelly Wayenberg'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 Wayenberg was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.