Gothic Sage Therapy and Design PLLC
NPI 1780489161ActiveOrganization· Counselor, Mental Health· Everett, WA
Counselor, Mental Health in Everett, Washington, registered in NPPES in February 2025. The authorized official on file is Kelly Nicole Kaderlik, MA, LMHC, Founder/ Therapist.
Overview
| NPI | 1780489161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2025 |
| Last updated in NPPES | Feb 18, 2025 |
| Certified by provider | Feb 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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