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KELILYN WALTENBURG
NPI 1902636350
Counselor - Professional in Reno, NV

Active since August 01, 2024
1905 E. FORTH ST, RENO, NV 89512(775) 786-4673 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Jul 7, 2025, Aug 1, 2024 (3 updates tracked since 2024).

About Kelilyn Waltenburg NPPES

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

KELILYN WALTENBURG (NPI 1902636350) is an individual professional provider in Reno, Nevada, licensed in Nevada (CI5527) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1902636350
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELILYN WALTENBURG
Location Address1905 E. FORTH STReno, NV 89512
Mailing Address2362 Wabash CirSparks, NV 89434-8840 · (775) 351-6804
Phone(775) 786-4673
Sole ProprietorNo
Enumeration DateAugust 1, 2024
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1902636350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NV · CI5527
Also ListedCounselorTaxonomy 101Y00000X · License 08067-IG (NV)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 08066-LCI
1905 E. FORTH ST, Reno, NV 89512
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Other Names 1

Former Name (1)Kelilyn Skidmore

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 Kelilyn Waltenburg's NPI number?

The NPI number for Kelilyn Waltenburg is 1902636350. It was assigned to this individual provider in the NPPES registry on August 1, 2024. The provider is also known as Kelilyn Skidmore.

Where is Kelilyn Waltenburg located?

Kelilyn Waltenburg practices at 1905 E. Forth St, Reno, NV 89512. The listed phone number is (775) 786-4673.

What is Kelilyn Waltenburg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelilyn Waltenburg was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.