Organization Active NPI

Praxin Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Bellevue, WA
National Provider Identifier
1174651962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
17-120800 Issued in WA
Legal business name
PRAXIN INC.
Practice address
1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937
Phone
(425) 454-9490
Fax
(425) 454-9490
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Omalley, MA,LMHC,CDP,CCFC
Title
Owner, Practitioner
Phone
(425) 454-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 17-120800 WA Primary

Addresses

Primary practice location

1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937

Mailing address

1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937
Phone (425) 454-9490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174651962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 260E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042937",
            "telephone_number": "425-454-9490",
            "fax_number": "425-454-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 260E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042937",
            "telephone_number": "425-454-9490",
            "fax_number": "425-454-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMALLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER, PRACTITIONER",
        "authorized_official_telephone_number": "425-454-9490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,LMHC,CDP,CCFC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "17-120800",
            "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 Aug 22, 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.