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Kelcee Nikole Bristol

Peer Specialist β€’ Long Beach, WA

Active NPI 1508525213 Individual Practitioner Female Practitioner
Practice location in NPPES

2204 Pacific Ave N
Long Beach, WA 986313300

Call 3606423787 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2204 Pacific Ave N

Long Beach, WA 986313300

Telephone 3606423787
Organization at the Same NPPES Address or Phone
Willapa Counseling Center Facility NPI 1174570949

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Silverdale, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Long Beach and Washington

16 active clinicians are listed under Peer Specialist with a practice address in Long Beach, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Long Beach

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-11
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

2430 Nw Myhre Rd Ste 101

Silverdale, WA 983837669

Phone: 3603285050

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Jessica Bailey , LCSW

Social Worker - Clinical

NPI 1568770022

Licensed Clinical Social Worker

Dr. Suzan Dula , PsyD, PA-C

Physician Assistant - Medical

NPI 1942583372

Doctor of Psychology (Psy.D.), Physician Assistant (Certified)

Carol Dunning , LICSW

Social Worker - Clinical

NPI 1497013601

Licensed Independent Clinical Social Worker

Kathy Edison

Nurse Practitioner - Psychiatric/Mental Health

NPI 1700521184
Cyndi Holloman , LCSW

Social Worker - Clinical

NPI 1942670898

Licensed Clinical Social Worker

Cheryl Loomis , LICSW, LMP

Social Worker - Clinical

NPI 1992088140

Licensed Independent Clinical Social Worker, Licensed Massage Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 11, 2022

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

πŸ“
Updated Business Mailing Address August 11, 2022

Registered at 2204 PACIFIC AVE N, LONG BEACH, WA 986313300 (Tel: 3606423787)

βœ…
NPI Profile Active December 09, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 09, 2021

Registered at 2430 NW MYHRE RD STE 101, SILVERDALE, WA 983837669 (Tel: 3603285050)

πŸ“
Business Mailing Address (Initial Record) December 09, 2021

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807

πŸ‘€
Provider Name / Credentials (Initial Record) December 09, 2021

Recorded as KELCEE BRISTOL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Behavior Technician

🟒
Initial NPI Registration & Enumeration December 09, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508525213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2021
Last Update: August 11, 2022
Sole Proprietor: No

Mailing Address

2204 Pacific Ave N

Long Beach, WA 986313300

Phone: 3606423787

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.