KELLY J NIESS (NPI# 1952577934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952577934 |
| Entity Type | Individual |
| Full Name | KELLY J NIESS |
| Practice Address |
325 E Pioneer Ave Puyallup WA 98372-3265 |
| Practice Telephone | 2536978548 |
| Practice Fax Number | 2536978590 |
| Mailing Telephone | 2536978548 |
| Mailing Fax Number | 2536978590 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | RC00051967 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942445887 | Kelly M Niess | Marriage & Family Therapist | 480 Manor Plz, Pacifica, CA 94044-1839 | 2008-12-05 |
| Street Address |
325 E PIONEER AVE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396703559 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 325 E Pioneer Ave, Suite B-124, Puyallup, WA 98372-3265 | 2006-05-03 |
| 1063786234 | Cornell Willard Anderson | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372 | 2012-03-05 |
| 1700157609 | Lynette J Carlson | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2012-01-24 |
| 1033489752 | William Northrup Mchattie | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2012-01-11 |
| 1700156486 | Gregory Warren | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2012-01-11 |
| 1740550961 | Angela M Hodges | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2012-01-04 |
| 1619246642 | Gisele O Patton | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2011-12-20 |
| 1689943698 | Crystal N Mcmahan | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2011-12-20 |
| 1578831160 | Carol Hurley | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2011-12-09 |
| 1821373242 | Tara Marie Tremlett | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120218 | Tyus X Reed | Counselor | 9103 62nd Ave E, Puyallup, WA 98371-6252 | 2020-09-30 |
| 1265041339 | Hannah Rose Bates | Counselor | 12919 109th Avenue Ct E, Puyallup, WA 98374-3091 | 2020-07-24 |
| 1033532528 | Karen Burdick | Counselor | 16824 132nd Ave E, Puyallup, WA 98374-9698 | 2014-02-04 |
| 1285069328 | Tracy Lynn Detty | Counselor | 305 E Pioneer, Puyallup, WA 98372-3265 | 2013-09-09 |
| 1073946083 | Leanne Sullivan | Counselor | 2832 S Meridian, Suite 101, Puyallup, WA 98373-1447 | 2013-08-13 |
| 1720261936 | Kathleen Pritchard | Counselor | 325 East Pionneer, Puyallup, WA 98372-2858 | 2007-12-11 |
| 1609838168 | Heidi J Vose-hoffman | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2006-04-03 |
| 1043811078 | Blayne Anthony Clanton | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-11-05 |
| 1861093882 | Amanda Nichole Anderson | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-11-05 |
| 1548861552 | Laurel Elizabeth Boettcher | Counselor | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-11-05 |
| Find all providers in PUYALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.