Anteneh Woldeselassie, PMHNP-DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61562033 Issued in WA

Practice address

26136 Pacific Hwy S
Kent, WA 98032-6910

Phone

(206) 212-6189

Fax

(206) 429-2587

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Youth and Family CounselingGroup PAC ID 7012338981, 32 clinicians

NavosGroup PAC ID 4385545474, 32 clinicians

Vest Thurston LLCGroup PAC ID 0648512459, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harborview Medical Center Hospital, Seattle, WA, CCN 500064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anteneh.woldeselassie.1@24259.direct.athenahealth.com

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.

• Harbor Youth and Family Counseling

  • Mental Health Counselor
  • Tukwila, WA
  • NPI 1205466265
  Medicare reassignment Care Compare group NPD
• Navos

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1194728105
  Medicare reassignment Care Compare group NPD
• Thawminds Mental Health Service LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kent, WA
  • NPI 1629868120
  Medicare reassignment NPD Authorized official
• Vest Thurston LLC

  • Psychiatric Hospital
  • Lacey, WA
  • NPI 1336605849
  Medicare reassignment Care Compare group NPD
• Alliance for South Sound Health

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1891298980
  Medicare reassignment NPD
• Telecare Mental Health Services of Washington, Inc

  • Psychiatric Residential Treatment Facility
  • Tacoma, WA
  • NPI 1780913657
  Medicare reassignment NPD
• Navos

  • Psychiatric Hospital
  • Seattle, WA
  • NPI 1124034699
  NPD
• Telecare Mental Health Services of Washington Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tukwila, WA
  • NPI 1902540362
  NPD
• Telecare Mental Health Services of Washington, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Federal Way, WA
  • NPI 1790298347
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harborview Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1053359729
  Care Compare affiliation

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1396465753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26136 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326910",
            "telephone_number": "206-212-6189",
            "fax_number": "206-429-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26136 PACIFIC HWY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326910",
            "telephone_number": "206-212-6189",
            "fax_number": "206-429-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDESELASSIE",
        "first_name": "ANTENEH",
        "name_prefix": "Dr.",
        "credential": "PMHNP-DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61562033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wohrle
• Lindsay A Woke
• Tselot Woldegiorgis, RN
• Dereje Woldekirkos
• Meselu Woldemariam
• Zereyakob Woldeselassie
• Woinshet Woldetsadik
• Brett T Wolfe
• Paula B. Wolfe, RD
• Christopher Wong, DPT

• Psychiatric/Mental Health Nurse Practitioner in Kent, WA
• Providers in Kent, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.