KELLY HERZBERG
NPI 1679167068
Counselor - Mental Health in Tacoma, WA
About Kelly Herzberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY HERZBERG (NPI 1679167068) is an individual mental health provider in Tacoma, Washington, licensed in Washington (LH60585400) and active in the NPI registry since February 2021. She has opted out of Medicare through October 8, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelly Herzberg has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 8, 2024 through October 8, 2026.
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.
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 Herzberg's NPI number?
The NPI number for Kelly Herzberg is 1679167068. It was assigned to this individual provider in the NPPES registry on February 25, 2021.
Where is Kelly Herzberg located?
Kelly Herzberg practices at 1148 Broadway Ste 100, Tacoma, WA 98402. The listed phone number is (253) 597-4550.
What is Kelly Herzberg's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Herzberg enrolled in Medicare?
No. Kelly Herzberg has opted out of Medicare through October 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Kelly Herzberg was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
