Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLIE RAE KETCHUM
NPI 1972416535
Counselor - Mental Health in Yakima, WA

Q: What is Kellie Ketchum's NPI number?

The NPI number for Kellie Ketchum is 1972416535. It was assigned to this individual provider in the NPPES registry on September 24, 2026.

Q: What is Kellie Ketchum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Ketchum was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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 September 24, 2026

1015 S 40TH AVE STE 18, YAKIMA, WA 98908(509) 367-6130 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Kellie Rae Ketchum NPPES

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

KELLIE RAE KETCHUM (NPI 1972416535) is an individual mental health provider in Yakima, Washington, licensed in Washington (MHCA.MC.70176135) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1972416535

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLIE RAE KETCHUM

Location Address1015 S 40TH AVE STE 18Yakima, WA 98908-3867

Mailing Address1015 S 40th Ave Ste 18Yakima, WA 98908-3867 · (509) 367-6130

Phone(509) 367-6130

Sole ProprietorNo

Enumeration DateSeptember 24, 2026

NPPES CertifiedSeptember 24, 2026

✔ NPI 1972416535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · MHCA.MC.70176135

1015 S 40TH AVE STE 18, Yakima, WA 98908

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASCADE PSYCHOLOGICAL HEALTH

Psychologist (Clinical)

1015 S 40TH AVE STE 18
YAKIMA, WA 98908

Yakima County (509) 367-6130

MRS. AMBER RAYNEE BUCKLES

Massage Therapist

1015 S 40TH AVE STE 18
YAKIMA, WA 98908

Yakima County (509) 965-0100

JESSICA FARMER LMHCA

Counselor (Mental Health)

1015 S 40TH AVE STE 18
YAKIMA, WA 98908

Yakima County (509) 367-6130

PHYSICIANS REHABILITATION AND THERAPY, PLLC

Neuromusculoskeletal Medicine & OMM

1015 S 40TH AVE STE 18
YAKIMA, WA 98908

Yakima County (509) 965-0100

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 Kellie Ketchum's NPI number?

The NPI number for Kellie Ketchum is 1972416535. It was assigned to this individual provider in the NPPES registry on September 24, 2026.

Where is Kellie Ketchum located?

Kellie Ketchum practices at 1015 S 40th Ave Ste 18, Yakima, WA 98908. The listed phone number is (509) 367-6130.

What is Kellie Ketchum'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 Kellie Ketchum was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.