Individual provider Active NPI

Honorine Nchuo Betah, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1386310647
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61454755 Issued in WA
Practice address
4803 Fremont Ave N
Seattle, WA 98103-6527
Phone
(855) 444-7258
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1049139 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP61454755 WA Primary

Addresses

Primary practice location

4803 Fremont Ave N
Seattle, WA 98103-6527

Mailing address

18383 Preston Rd Ste 202
Dallas, TX 75252-5487
Phone (214) 983-9811

Other practice location 1

18383 Preston Rd Ste 202
Dallas, TX 75252-5487
Phone (214) 983-9811

Other names 1

  • Honorine Nchuo Chuo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, MN, AZ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241217003025 WA Practitioner - Nurse Practitioner 7517494487 Reassigns benefits to 2 organizations
I20241217003915 TX Practitioner - Nurse Practitioner 7517494487 Reassigns benefits to 2 organizations
I20241218002202 MN Practitioner - Nurse Practitioner 7517494487 Reassigns benefits to 1 organization
I20250418000850 AZ Practitioner - Nurse Practitioner 7517494487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

22406 68TH Ave W
Mountlake Terrace, WA 98043-2372
Phone (201) 748-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1049139TXMDPsychiatric/Mental Health Nurse Practitioner
AP61454755WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Single Specialty CurrentSince Nov 13, 2024 Accepting new patients
Evolve Psychiatry PC Psychiatric/Mental Health CurrentSince Nov 5, 2023 Accepting new patients
Psychiatric Nurse Practitioner P.C Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Moonshot Psychiatric Nurse Practitioner PC Single Specialty CurrentSince Jan 11, 2025 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

4803 Fremont Ave N
Seattle, WA 98103
Phone (206) 486-5258

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 4

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1386310647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18383 PRESTON RD STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525487",
            "telephone_number": "214-983-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 FREMONT AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036527",
            "telephone_number": "855-444-7258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18383 Preston Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525487",
            "country_code": "US",
            "telephone_number": "214-983-9811",
            "fax_number": "214-387-1382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETAH",
        "first_name": "HONORINE",
        "middle_name": "NCHUO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1049139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61454755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HONORINE",
            "last_name": "CHUO",
            "middle_name": "NCHUO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.