KEISHA LEE
NPI 1902225501
Counselor in Kelso, WA

Q: What is Keisha Lee's NPI number?

The NPI number for Keisha Lee is 1902225501. It was assigned to this individual provider in the NPPES registry on April 10, 2014. The provider is also known as Keisha Peterson.

Q: What is Keisha Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keisha Lee was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 10, 2014PECOS Enrolled

206 NW 2ND AVE, KELSO, WA 98626(360) 423-2806 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2025, Mar 9, 2020, Feb 8, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Keisha Lee NPPES

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

KEISHA LEE (NPI 1902225501) is an individual counselor in Kelso, Washington and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1902225501

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKEISHA LEE

Location Address206 NW 2ND AVEKelso, WA 98626-1323

Mailing Address921 14th AveLongview, WA 98632-2316 · (360) 423-0203 · Fax (360) 423-2311

Phone(360) 423-2806

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 10, 2014

Last NPPES UpdateSeptember 12, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1902225501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH61248882 (WA)

Other Names 1

Former Name (1)Keisha Peterson

Secondary Practice Location 1

Location 19300 NE Oak View DrVancouver, WA 98662-6157 · Phone (360) 567-2211 · Fax (360) 423-2311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234635368

PECOS Enrollment IDI20250929002473

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.

Medicare Billing Reassignment

Medicare enrollment records show Keisha Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Therapy Group PC

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Washington enrollment
777 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keisha Lee's NPI number?

The NPI number for Keisha Lee is 1902225501. It was assigned to this individual provider in the NPPES registry on April 10, 2014. The provider is also known as Keisha Peterson.

Where is Keisha Lee located?

Keisha Lee practices at 206 NW 2nd Ave, Kelso, WA 98626. The listed phone number is (360) 423-2806.

What is Keisha Lee's specialty?

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

Is Keisha Lee enrolled in Medicare?

Yes. Keisha Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keisha Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keisha Lee reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keisha Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keisha Lee accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Keisha Lee 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 Keisha Lee was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.