Active NPI
Renee Zachery
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1154110328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2320 130TH Ave NE Ste 240
Bellevue, WA 98005-1718 - Phone
- (425) 646-2778
- NPI assigned
- May 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2320 130TH Ave NE Ste 240
Bellevue, WA 98005-1718
Mailing address
2320 130TH Ave NE Ste 240
Bellevue, WA 98005-1718
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimallife Wellness Center | Mental Health | Current | Accepting new patients |
Locations
2320 130th Ave NE
Ste 240
Bellevue, WA 98005
Phone (425) 646-2778
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1154110328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 130TH AVE NE STE 240",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 130TH AVE NE STE 240",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051718",
"telephone_number": "425-646-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHERY",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.