Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellen Ainley

Individual provider Counselor · NPI 1407576747

Kellen Ainley is a Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

3200 NE 109th Ave
Vancouver, WA 98682-7749
Phone: (360) 695-1014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61344261 (WA)

Record details

NPI number1407576747
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address3200 Ne 109th Ave, Vancouver, WA 98682-7749

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