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Kaleb D Sinclair

Counselor

Behavioral Health & Social Service Providers

11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933

PECOS Enrollment

This provider is enrolled in PECOS as KALEB SINCLAIR.

Based on the most recent information from CMS, provider Kaleb D Sinclair is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033678610
Provider Type
Individual
Full Name
Sinclair, Kaleb D
Credential
MA, LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/13/2019
Last Updated
2/10/2025

Contact Information

Practice Location

11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933

(206) 614-0057

(206) 614-0047

Mailing Location

11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933

(206) 614-0057

(206) 614-0047

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LH61233498 Washington

Provider Identifiers

ID	Description	Issuer
ID 111524501	Description Medicaid	Issuer Unlisted Washington

Kaleb D Sinclair

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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