Organization Active NPI

Grace Mindcare PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
National Provider Identifier
1215802319
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GRACE MINDCARE PC
Practice address
617 Eastlake Ave E Ste 410
Seattle, WA 98109-5681
Phone
(206) 312-5373
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Nakyung Choe
Title
Coo
Phone
(206) 207-2310

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

617 Eastlake Ave E Ste 410
Seattle, WA 98109-5681

Mailing address

617 Eastlake Ave E Ste 410
Seattle, WA 98109-5681
Phone (206) 312-5373

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250508000867 WA Part B Supplier - Clinic/Group Practice 6507383023 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Federal Way, WA; Mercer Island, WA; Seattle, WA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Grace Mindcare PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9311 SE 36th St
Ste 120
Mercer Island, WA 98040
Phone (206) 312-5373

617 Eastlake Ave E
Ste 410
Seattle, WA 98109
Phone 2063125373 ext. 25373

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1215802319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 EASTLAKE AVE E STE 410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095681",
            "telephone_number": "206-312-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 EASTLAKE AVE E STE 410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095681",
            "telephone_number": "206-312-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MINDCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "NAKYUNG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "206-207-2310"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.