Active NPI
Praxin Inc.
- Addiction (Substance Use Disorder) Counselor
- Bellevue, WA
National Provider Identifier
1174651962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17-120800
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryNPI 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.