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KELLI LYNN BANNERMAN BA
NPI 1790215770
Counselor - Mental Health in Olympia, WA

Active since June 13, 2017
3857 MARTIN WAY E, OLYMPIA, WA 98506(360) 704-7170 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelli Lynn Bannerman Ba NPPES

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

KELLI LYNN BANNERMAN BA (NPI 1790215770) is an individual mental health provider in Olympia, Washington and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1790215770
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI LYNN BANNERMANCredential: BA
Location Address3857 MARTIN WAY EOlympia, WA 98506-5268
Mailing Address3857 Martin Way EOlympia, WA 98506-5268 · (360) 704-7170
Phone(360) 704-7170
Sole ProprietorNo
Enumeration DateJune 13, 2017
✔ NPI 1790215770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3857 MARTIN WAY E, Olympia, WA 98506
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Other Identifiers 1

Medicaid100829WA

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.

PAMELA KAY BODINE
Counselor (Mental Health)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
ALYSSA COMPTON CLARK
Community Health Worker
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
DANIELE BRITTNEY MAURER
Counselor (Mental Health)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
LEAH J VAN TIEM CLINICIAN
Counselor
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
AMANDA VIOLET WELCH
Counselor
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
ALYSSA LONG
Counselor
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
GEORGE PETZINGER M.D.
Psychiatry & Neurology (Psychiatry)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170
MS. FRANCES LYN HERTZ MA LMHC
Counselor (Mental Health)
3857 MARTIN WAY E
OLYMPIA, WA 98506
Thurston County (360) 704-7170

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 Kelli Bannerman's NPI number?

The NPI number for Kelli Bannerman is 1790215770. It was assigned to this individual provider in the NPPES registry on June 13, 2017.

Where is Kelli Bannerman located?

Kelli Bannerman practices at 3857 Martin Way E, Olympia, WA 98506. The listed phone number is (360) 704-7170.

What is Kelli Bannerman'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 Kelli Bannerman was last updated on June 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.