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Kelly Templer

Counselor β€’ Shoreline, WA

Active NPI 1114471877 Individual Practitioner Female Practitioner
Practice location in NPPES

16715 Aurora Ave N
Shoreline, WA 981335310

Call 2065469766 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

16715 Aurora Ave N

Shoreline, WA 981335310

Telephone 2065469766
Fax 2065420326
Organization at the Same NPPES Address or Phone
Therapeutic Health Services Facility NPI 1881206886

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

NPI first issued

2016

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 Shoreline and Washington

95 active clinicians are listed under Counselor with a practice address in Shoreline, WA (11,464 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Shoreline

0% of these 95 clinicians have the CMS telehealth indicator.

0% of these 95 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: 2023-03-10
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES MI 6802089029

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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

Career & Practice History Timeline

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

18 Historical Events
πŸ”„
NPI Profile Reactivated March 10, 2023

Record officially reactivated for active practice on March 10, 2023

πŸ“
Updated Practice Location March 10, 2023

Registered at 16715 AURORA AVE N, SHORELINE, WA 981335310 (Tel: 2065469766)

πŸ“
Updated Business Mailing Address March 10, 2023

Registered at 16715 AURORA AVE N, SHORELINE, WA 981335310 (Tel: 2065469766)

πŸ‘€
Provider Name / Credentials Updated March 10, 2023

Recorded as KELLY TEMPLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2023

Social Worker (license number reported to NPPES: MI 6802089029)

⚠️
NPI Profile Deactivated September 16, 2021

NPPES lists this NPI as deactivated as of September 16, 2021; the reason is not published.

πŸ“
Updated Practice Location January 21, 2021

Registered at 16715 AURORA AVE N, SHORELINE, WA 981335310 (Tel: 2065469766)

πŸ“
Updated Business Mailing Address January 21, 2021

Registered at 16715 AURORA AVE N, SHORELINE, WA 981335310 (Tel: 2065469766)

πŸ‘€
Provider Name / Credentials Updated January 21, 2021

Recorded as KELLY TEMPLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2021

Counselor

πŸ“
Updated Practice Location May 24, 2018

Registered at 1939 S DIVISION AVE., GRAND RAPIDS, MI 49507 (Tel: 6162473815)

πŸ“
Updated Business Mailing Address May 24, 2018

Registered at 1939 S DIVISION AVE., GRAND RAPIDS, MI 49507 (Tel: 6162473815)

βœ…
NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 11, 2016

Registered at 4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 495083638 (Tel: 6164550960)

πŸ“
Business Mailing Address (Initial Record) August 11, 2016

Registered at 4255 KALAMAZOO AVE SE, GRAND RAPIDS, MI 495083638 (Tel: 6164550960)

πŸ‘€
Provider Name / Credentials (Initial Record) August 11, 2016

Recorded as KELLY BOTH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Social Worker (license number reported to NPPES: MI 6802089029)

🟒
Initial NPI Registration & Enumeration August 11, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114471877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2016
Last Update: March 10, 2023
Sole Proprietor: No

Mailing Address

16715 Aurora Ave N

Shoreline, WA 981335310

Phone: 2065469766

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.