Active NPI
Jelliane Anasco
- Addiction (Substance Use Disorder) Counselor
- Seattle, WA
National Provider Identifier
1053284786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 13555 Aurora Ave N
Seattle, WA 98133-7511 - Phone
- (253) 999-5750
- NPI assigned
- Sep 29, 2025
- Last updated
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| General Practice Physician | 208D00000X | RN61621250 | WA | |
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
13555 Aurora Ave N
Seattle, WA 98133-7511
Mailing address
4200 S Othello St Unit 306
Seattle, WA 98118-3882
Other practice location 1
3320 Auburn Way N
Auburn, WA 98002-1805
Phone (253) 999-5750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61621250 | WA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1053284786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 S OTHELLO ST UNIT 306",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981183882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 AURORA AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981337511",
"telephone_number": "253-999-5750"
}
],
"practiceLocations": [
{
"address_1": "3320 Auburn Way N",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980021805",
"country_code": "US",
"telephone_number": "253-999-5750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANASCO",
"first_name": "JELLIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "RN61621250",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.