SUSAN ANNE KENNELLY PEER
NPI 1780324079
Peer Specialist in Everett, WA

Active since April 01, 2022
4526 FEDERAL AVE, EVERETT, WA 98203(425) 349-6200 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Anne Kennelly Peer NPPES

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

SUSAN ANNE KENNELLY PEER (NPI 1780324079) is an individual peer specialist in Everett, Washington, licensed in Washington (CG61295722) and active in the NPI registry since April 2022. She maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1780324079
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSUSAN ANNE KENNELLYCredential: PEER
Location Address4526 FEDERAL AVEEverett, WA 98203-2132
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1780324079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in WA · CG61295722
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
4526 FEDERAL AVE, Everett, WA 98203

Other Names 1

Other Name (5)Susan Anne Kennelly

Secondary Practice Location 1

Location 1Compass Health, 4526 Federal Ave. MS#11Everett, WA 98203-2132 · Phone (425) 349-6200

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
4526 FEDERAL AVE
EVERETT, WA 98203
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Counselor (Mental Health)
4526 FEDERAL AVE
EVERETT, WA 98203
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Behavior Technician
4526 FEDERAL AVE
EVERETT, WA 98203
Licensed Practical Nurse
4526 FEDERAL AVE
EVERETT, WA 98203
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203
Counselor
4526 FEDERAL AVE
EVERETT, WA 98203

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 Susan Kennelly's NPI number?

The NPI number for Susan Kennelly is 1780324079. It was assigned to this individual provider in the NPPES registry on April 1, 2022. The provider is also known as Susan Anne Kennelly.

Where is Susan Kennelly located?

Susan Kennelly practices at 4526 Federal Ave, Everett, WA 98203. The listed phone number is (425) 349-6200.

What is Susan Kennelly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Susan Kennelly was last updated on April 13, 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.