KELLY PETERSON
NPI 1902636889
Counselor - Mental Health in Walla Walla, WA

Active since August 05, 2024
1520 KELLY PL, WALLA WALLA, WA 99362(509) 524-2920 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Peterson NPPES

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

KELLY PETERSON (NPI 1902636889) is an individual mental health provider in Walla Walla, Washington and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1902636889
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY PETERSON
Location Address1520 KELLY PLWalla Walla, WA 99362-8607
Mailing AddressPo Box 959Yakima, WA 98907-0959
Sole ProprietorNo
Enumeration DateAugust 5, 2024
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1902636889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1520 KELLY PL, Walla Walla, WA 99362

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.

Registered Nurse
1520 KELLY PL
WALLA WALLA, WA 99362
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Registered Nurse
1520 KELLY PL
WALLA WALLA, WA 99362
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Case Manager/Care Coordinator
1520 KELLY PL
WALLA WALLA, WA 99362
Counselor (Addiction (Substance Use Disorder))
1520 KELLY PL
WALLA WALLA, WA 99362

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 Kelly Peterson's NPI number?

The NPI number for Kelly Peterson is 1902636889. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Kelly Peterson located?

Kelly Peterson practices at 1520 Kelly Pl, Walla Walla, WA 99362. The listed phone number is (509) 524-2920.

What is Kelly Peterson'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 Kelly Peterson was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.