Individual provider Active NPI

Jessica Carol Dark, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Woodinville, WA
National Provider Identifier
1356785786
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60249683 Issued in WA
Practice address
18500 156TH Ave NE Ste 300
Woodinville, WA 98072-4459
Phone
(206) 957-0721
Fax
(206) 957-0723
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60249683 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17113800 WA

Addresses

Primary practice location

18500 156TH Ave NE Ste 300
Woodinville, WA 98072-4459

Mailing address

10564 5TH Ave NE
Suite 406
Seattle, WA 98125-7200
Phone (206) 957-0721

Other names 1

  • Jessica Carol Rhodes Former name

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
17113800WAMDAddiction (Substance Use Disorder) Counselor
CP60249683WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bhardra Recovery CurrentSince Jul 9, 2025 Accepting new patients
Bhadra Recovery Company LLC Addiction (Substance Use Disorder) CurrentSince Jul 9, 2025 Accepting new patients

Locations

18500 156th Ave NE
Ste 300
Woodinville, WA 98072
Phone (206) 696-3140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1356785786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE",
            "address_2": "SUITE 406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-957-0721",
            "fax_number": "206-957-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 156TH AVE NE STE 300",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724459",
            "telephone_number": "206-957-0721",
            "fax_number": "206-957-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARK",
        "first_name": "JESSICA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60249683",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "17113800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RHODES",
            "middle_name": "CAROL",
            "credential": "CP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.