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KAHLIA ANI NYDAM
NPI 1740815190
Counselor in Vancouver, WA

Active since March 05, 2020
6221 NE FOURTH PLAIN BLVD STE A, VANCOUVER, WA 98661(360) 449-2557 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kahlia Ani Nydam NPPES

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

KAHLIA ANI NYDAM (NPI 1740815190) is an individual counselor in Vancouver, Washington, licensed in Washington (VENTUKA094R9) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1740815190
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKAHLIA ANI NYDAM
Location Address6221 NE FOURTH PLAIN BLVD STE AVancouver, WA 98661-7206
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-0502 · Fax (206) 764-0516
Phone(360) 449-2557
Sole ProprietorYes
Enumeration DateMarch 5, 2020
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1740815190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · VENTUKA094R9
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6221 NE FOURTH PLAIN BLVD STE A, Vancouver, WA 98661
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Other Names 1

Former Name (1)Kahlia Ani Ventura

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DIANNA GARNICA PADILLA
Case Manager/Care Coordinator
6221 NE FOURTH PLAIN BLVD STE A
VANCOUVER, WA 98661
Clark County (360) 989-3743
SAMANTHA LYNN DEARING
Student in an Organized Health Care Education/Training Program
6221 NE FOURTH PLAIN BLVD STE A
VANCOUVER, WA 98661
Clark County (360) 989-3743
RACHAEL MINTON RN
Registered Nurse (Addiction (Substance Use Disorder))
6221 NE FOURTH PLAIN BLVD STE A
VANCOUVER, WA 98661
Clark County (360) 989-3743

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 Kahlia Nydam's NPI number?

The NPI number for Kahlia Nydam is 1740815190. It was assigned to this individual provider in the NPPES registry on March 5, 2020. The provider is also known as Kahlia Ani Ventura.

Where is Kahlia Nydam located?

Kahlia Nydam practices at 6221 NE Fourth Plain Blvd Ste A, Vancouver, WA 98661. The listed phone number is (360) 449-2557.

What is Kahlia Nydam's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kahlia Nydam was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.