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KELLY HERZBERG
NPI 1679167068
Counselor - Mental Health in Tacoma, WA

Active since February 25, 2021
1148 BROADWAY STE 100, TACOMA, WA 98402(253) 597-4550 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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.

NPPES Registry Identity

NPI1679167068
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY HERZBERG
Location Address1148 BROADWAY STE 100Tacoma, WA 98402-3518
Mailing Address1148 Broadway Ste 100Tacoma, WA 98402-3518 · (253) 597-4550
Phone(253) 597-4550
Sole ProprietorNo
Enumeration DateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1679167068 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 · LH60585400
1148 BROADWAY STE 100, Tacoma, WA 98402
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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.

MRS. LORI M WELLER CNP
Nurse Practitioner
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 589-7030
LISA PRICE RDH
Dental Hygienist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1184
JENNIFER TABAKIN MD
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 597-4550
MAI PHUONG NGOC NGUYEN D.D.S.
Dentist
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 268-1170
CHAITRI DESAI
Pediatrics
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
ASHLEY BURKHAMER RN
Registered Nurse
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 471-4553
MR. JOHN M GARCIA PA C
Physician Assistant (Medical)
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161
JESSICA ROSE SKELTON DO
Family Medicine
1148 BROADWAY STE 100
TACOMA, WA 98402
Pierce County (253) 722-2161

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.

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.