Active NPI
Michelle S. Peadon, M.A.
- Counselor
- Kent, WA
National Provider Identifier
1285912964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 13210 SE 240TH St Ste A5
Kent, WA 98042-5182 - Phone
- (425) 221-3582
- NPI assigned
- Jul 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
13210 SE 240TH St Ste A5
Kent, WA 98042-5182
Mailing address
32129 111TH CT SE
Auburn, WA 98092-4712
Phone (425) 221-3582
Other practice location 1
1160 140th Ave NE
Bellevue, WA 98005-2978
Phone (425) 454-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 24, 2024 through Apr 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1285912964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32129 111TH CT SE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980924712",
"telephone_number": "425-221-3582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13210 SE 240TH ST STE A5",
"city": "KENT",
"state": "WA",
"postal_code": "980425182",
"telephone_number": "425-221-3582"
}
],
"practiceLocations": [
{
"address_1": "1160 140th Ave NE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980052978",
"country_code": "US",
"telephone_number": "425-454-0616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEADON",
"first_name": "MICHELLE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.