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

Kellie M Mann

Individual provider Behavior Analyst · NPI 1396180808

Kellie M Mann is a Mental Health Counselor in Bothell, Washington. Qualified in 2018, 8 years ago. Practices with Pacmed Clinics, a 212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

1909 214th St SE Ste 300
Bothell, WA 98021-4418
Phone: (425) 412-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2708 Ne 14th Street, Suite 5, Pompano Beach, FL 33064 — (888) 880-9270

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LH61457270 (WA)
Behavior Analyst Taxonomy 103K00000X
Developmental Therapist Taxonomy 222Q00000X

Record details

NPI number1396180808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2013
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address1909 214th St Se Ste 300, Bothell, WA 98021-4418

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pacmed Clinics — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bothell