KELLY JEAN SAMSON
NPI 1750761706
Counselor - Mental Health in Puyallup, WA

Active since June 04, 2015
325 E PIONEER, PUYALLUP, WA 98372(253) 697-8400(253) 697-3730 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2018, Jan 24, 2017, Jan 6, 2017 (3 updates tracked since 2017).

About Kelly Jean Samson NPPES

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

KELLY JEAN SAMSON (NPI 1750761706) is an individual mental health provider in Puyallup, Washington, licensed in Washington (CG60551524) and active in the NPI registry since June 2015. She maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1750761706
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JEAN SAMSON
Location Address325 E PIONEERPuyallup, WA 98372-3265
Mailing Address325 E PioneerPuyallup, WA 98372-3265 · (253) 697-8400 · Fax (253) 697-3730
Fax(253) 697-3730
Sole ProprietorYes
Enumeration DateJune 4, 2015
Last NPPES UpdateOctober 24, 20183 updates tracked since enumeration
NPI 1750761706 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 · CG60551524
325 E PIONEER, Puyallup, WA 98372

Secondary Practice Location 1

Location 1202 N Division St Ste 200Auburn, WA 98001-4939 · Phone (253) 697-8408 · Fax (253) 333-2305

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 (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Counselor
325 E PIONEER
PUYALLUP, WA 98372
Social Worker (Clinical)
325 E PIONEER
PUYALLUP, WA 98372
Counselor (Mental Health)
325 E PIONEER
PUYALLUP, WA 98372
Counselor
325 E PIONEER
PUYALLUP, WA 98372

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 Samson's NPI number?

The NPI number for Kelly Samson is 1750761706. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Kelly Samson located?

Kelly Samson practices at 325 E Pioneer, Puyallup, WA 98372. The listed phone number is (253) 697-8400.

What is Kelly Samson'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 Samson was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.