Individual provider Active NPI

Stephen Lee

  • Marriage & Family Therapist
  • Bellevue, WA
National Provider Identifier
1306635719
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61463803 Issued in WA
Practice address
2320 130TH Ave NE Ste 240
Bellevue, WA 98005-1718
Phone
(425) 646-2778
NPI assigned
May 2, 2025
Last updated
May 2, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG61463803 WA Primary

Addresses

Primary practice location

2320 130TH Ave NE Ste 240
Bellevue, WA 98005-1718

Mailing address

14243 92ND Ave NE
Kirkland, WA 98034-5145
Phone (602) 692-8816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MG61463803WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Lee, PLLC Marriage & Family Therapist Current Accepting new patients
Optimallife Wellness Center Marriage & Family Therapist CurrentSince May 4, 2025 Accepting new patients

Locations

2320 130th Ave NE
Ste 240
Bellevue, WA 98005
Phone (425) 646-2778

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1306635719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14243 92ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345145",
            "telephone_number": "602-692-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 130TH AVE NE STE 240",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051718",
            "telephone_number": "425-646-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61463803",
            "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 May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.