John Bradley Amell, PEER COUNSELOR

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG60920290 Issued in WA

Practice address

222 Wall St # 100
Seattle, WA 98121-1431

Phone

(206) 441-3043

Fax

(206) 441-4155

NPI assigned

Jul 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1164031480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042304",
            "telephone_number": "206-464-1570",
            "fax_number": "206-624-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WALL ST # 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211431",
            "telephone_number": "206-441-3043",
            "fax_number": "206-441-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMELL",
        "first_name": "JOHN",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "PEER COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG60920290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Ambrose
• Bonnie Amdur
• Serkalem Amede, PHARMACIST
• Mohammed Ameenulla
• Genevieve Lynne Ameling
• Monica M Amen-Asia, LSWAIC
• Laura Amendola, M.S., CGC
• Aharona Ament, MA, LMHCA
• Bessie Marie Ament, PHARMD
• Katherine Pyne Ament, MAED, LMHC-A, NCC

• Peer Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.