Active NPI
Pamela Raphael, LMHC
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1386065704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60634190
- Practice address
- 40 Lake Bellevue Dr Ste 100
Bellevue, WA 98005-2480 - Phone
- (425) 770-4200
- Fax
- (855) 825-5420
- NPI assigned
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60634190 | WA | Primary |
Addresses
Primary practice location
40 Lake Bellevue Dr Ste 100
Bellevue, WA 98005-2480
Mailing address
PO Box 9943
Seattle, WA 98109-0943
Phone (425) 770-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2024 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60634190 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1386065704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9943",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981090943",
"telephone_number": "425-770-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LAKE BELLEVUE DR STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052480",
"telephone_number": "425-770-4200",
"fax_number": "855-825-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPHAEL",
"first_name": "PAMELA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60634190",
"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 Aug 14, 2025; 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.