IndividualActive
Kevin Koelsch, SUDPT
NPI 1083487102 · Addiction (Substance Use Disorder) Counselor · Port Angeles, WA
Provider details
- NPI number
- 1083487102
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDPT
- Sex
- Male
- Sole proprietor
- No
- License
- CO61488824 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3430 E Highway 101
Port Angeles, WA 98362-9068
Phone: (360) 452-4062
Fax: (360) 452-4189
Street-level locationGet directions
Mailing address
3430 E Highway 101
Port Angeles, WA 98362-9068
Registry dates
- Enumerated
- 2023-10-31
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.