Active NPI
Michele Marie Perrin, SUDP, RAAC
- Addiction (Substance Use Disorder) Counselor
- Tukwila, WA
National Provider Identifier
1407323942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CDP.CP.60778115
- Practice address
- 15455 65TH Ave S
Tukwila, WA 98188-2534 - Phone
- (206) 721-5170
- Fax
- (206) 721-6288
- NPI assigned
- Nov 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CAAR.CG.60745888 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP.CP.60778115 | WA | Primary |
Addresses
Primary practice location
15455 65TH Ave S
Tukwila, WA 98188-2534
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444
Other practice location 1
1335 Cole St
Enumclaw, WA 98022-2654
Phone (253) 833-7444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407323942 | Medicaid | WA | |
| 2120129 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1407323942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325892",
"telephone_number": "253-833-7444",
"fax_number": "253-661-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 65TH AVE S",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882534",
"telephone_number": "206-721-5170",
"fax_number": "206-721-6288"
}
],
"practiceLocations": [
{
"address_1": "1335 Cole St",
"address_purpose": "LOCATION",
"city": "Enumclaw",
"state": "WA",
"postal_code": "980222654",
"country_code": "US",
"telephone_number": "253-833-7444",
"fax_number": "253-661-8631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRIN",
"first_name": "MICHELE",
"middle_name": "MARIE",
"credential": "SUDP, RAAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CAAR.CG.60745888",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CDP.CP.60778115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407323942",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2120129",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.