Active NPI
Grace Mindcare PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
National Provider Identifier
1215802319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mercer Island, WA
- NPI 1588405393
O20250508000867
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Federal Way, WA
- NPI 1649145749
O20250508000867
National Provider Directory
National Provider Directory- Tax ID family
- Grace Mindcare PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mercer Island, WA
- NPI 1588405393
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Federal Way, WA
- NPI 1649145749
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.