Organization Active NPI

Odysseus International LLC

Doing business as Pacific NorthWell

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1346616224
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60476809 Issued in WA
Legal business name
ODYSSEUS INTERNATIONAL LLC
Doing business as
Pacific NorthWell
Practice address
509 Olive Way
Suite 1101
Seattle, WA 98101-1720
Phone
(253) 237-6237
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Alejandro Jose Martinez Torres
Title
General Manager
Phone
(206) 226-8434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MC60476809 WA Primary

Addresses

Primary practice location

509 Olive Way
Suite 1101
Seattle, WA 98101-1720

Mailing address

2607 Western Ave
Apt 153
Seattle, WA 98121-1326

Other names 1

  • Pacific NorthWell Doing business as

National Provider Directory

National Provider Directory

Locations

509 Olive Way
Ste 1101
Seattle, WA 98101
Phone (253) 237-6237

Practitioners & affiliated clinicians

Practitioners 1

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": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1346616224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 WESTERN AVE",
            "address_2": "APT 153",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 1101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "253-237-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEUS INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ TORRES",
        "authorized_official_first_name": "ALEJANDRO JOSE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "206-226-8434"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60476809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific NorthWell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2015; 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.