Healthcare Provider Details

I. General information

NPI: 1083114011
Provider Name (Legal Business Name): RACHEL KEPL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2018
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date: 09/02/2025
Reactivation Date: 10/15/2025

III. Provider practice location address

2400 NE 95TH ST
SEATTLE WA
98115-2426
US

IV. Provider business mailing address

2400 NE 95TH ST
SEATTLE WA
98115-2426
US

V. Phone/Fax

Practice location:
  • Phone: 206-525-5050
  • Fax:
Mailing address:
  • Phone: 206-525-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number17-37933
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: