NPIMap

Organization Active NPI

Pursuit Mental Health and Recovery

  • Psychiatric/Mental Health Nurse Practitioner
  • Renton, WA
National Provider Identifier
1215647201
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PURSUIT MENTAL HEALTH AND RECOVERY
Practice address
707 S Grady Way Ste 600
Renton, WA 98057-3227
Phone
(206) 588-5251
Fax
(206) 238-9564
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Stephen Douglas Martin, NPNPI 1518492479
Title
Owner
Phone
(951) 312-9646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

707 S Grady Way Ste 600
Renton, WA 98057-3227

Mailing address

8297 Champions Gate Blvd Ste 240
Champions Gate, FL 33896-8387
Phone (206) 588-5251

Other practice location 1

1047 S Wells St
Meridian, ID 83642-7997
Phone (951) 312-9646

Other practice location 2

21 E State St
Columbus, OH 43215-4281
Phone (206) 588-5251

Other practice location 3

1201 Fannin St Ste 262
Houston, TX 77002-6943
Phone (206) 289-0571

Other practice location 4

8601 Kiowa Trl
Kissimmee, FL 34747-1522
Phone (206) 588-5251

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Onpatient

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214003672 WA Part B Supplier - Clinic/Group Practice 3870937196 Receives reassigned benefits from 4 practitioners
Practice locations: Des Moines, WA

National Provider Directory

National Provider Directory

Locations

1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351

22207 7th Ave S
Des Moines, WA 98198
Phone (206) 588-5251

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1215647201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD STE 240",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "206-588-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GRADY WAY STE 600",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573227",
            "telephone_number": "206-588-5251",
            "fax_number": "206-238-9564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1047 S Wells St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836427997",
            "country_code": "US",
            "telephone_number": "951-312-9646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154281",
            "country_code": "US",
            "telephone_number": "206-588-5251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Fannin St Ste 262",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770026943",
            "country_code": "US",
            "telephone_number": "206-289-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8601 Kiowa Trl",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347471522",
            "country_code": "US",
            "telephone_number": "206-588-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURSUIT MENTAL HEALTH AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-312-9646",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Onpatient",
            "affiliation": "N",
            "endpointDescription": "Patient Portal",
            "address_1": "29118 34th Ave S",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980011460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.