NPIMap

Organization Active NPI

Friends of Youth

  • Addiction (Substance Use Disorder) Counselor
  • Issaquah, WA
National Provider Identifier
1144367350
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17040901 Issued in WA
Legal business name
FRIENDS OF YOUTH
Practice address
414 Front St N
Issaquah, WA 98027-2914
Phone
(425) 392-6367
Fax
(425) 391-4971
NPI assigned
Jan 30, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula L Frederick
Title
Director of Youth & Family Services
Phone
(425) 392-6367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17040901 WA Primary
Mental Health Counselor 101YM0800X 153 WA

Addresses

Primary practice location

414 Front St N
Issaquah, WA 98027-2914

Mailing address

16225 NE 87TH St
Ste a-6
Redmond, WA 98052-3536
Phone (425) 869-6490

Other identifiers 1

IdentifierTypeStateIssuer
1992395MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Friends of Youth6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 Ballarat Ave N
North Bend, WA 98045
Phone (425) 392-6367

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1144367350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16225 NE 87TH ST",
            "address_2": "STE A-6",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523536",
            "telephone_number": "425-869-6490",
            "fax_number": "425-869-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 FRONT ST N",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272914",
            "telephone_number": "425-392-6367",
            "fax_number": "425-391-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF YOUTH & FAMILY SERVICES",
        "authorized_official_telephone_number": "425-392-6367"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "17040901",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992395",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.