KELBY BRODDIE LMFT
NPI 1760032379
Marriage & Family Therapist in Bellingham, WA

Active since September 16, 2019PECOS Enrolled
4350 CORDATA PKWY STE 102, BELLINGHAM, WA 98226(360) 922-6977 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2022, Sep 16, 2019 (2 updates tracked since 2019).

About Kelby Broddie Lmft NPPES

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

KELBY BRODDIE LMFT (NPI 1760032379) is an individual marriage & family therapist in Bellingham, Washington, licensed in Washington (LF61239188) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760032379
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKELBY BRODDIECredential: LMFT
Location Address4350 CORDATA PKWY STE 102Bellingham, WA 98226-8278
Mailing Address4350 Cordata Pkwy Ste 102Bellingham, WA 98226-8278 · (360) 922-6977
Sole ProprietorNo
Enumeration DateSeptember 16, 2019
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1760032379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in WA · LF61239188
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4350 CORDATA PKWY STE 102, Bellingham, WA 98226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelby Broddie Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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)
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Counselor (Mental Health)
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Counselor (Mental Health)
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Counselor (Mental Health)
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Counselor (Mental Health)
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Marriage & Family Therapist
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Counselor (Mental Health)
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226
Marriage & Family Therapist
4350 CORDATA PKWY STE 102
BELLINGHAM, WA 98226

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 Kelby Broddie's NPI number?

The NPI number for Kelby Broddie is 1760032379. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Kelby Broddie located?

Kelby Broddie practices at 4350 Cordata Pkwy Ste 102, Bellingham, WA 98226. The listed phone number is (360) 922-6977.

What is Kelby Broddie's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelby Broddie enrolled in Medicare?

Yes. Kelby Broddie is registered in the Medicare PECOS enrollment system.

What insurance does Kelby Broddie accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kelby Broddie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelby Broddie was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.