Opal Mental Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPAL MENTAL WELLNESS PLLC

Practice address

14623 NE N Woodinville Way Ste 104
Woodinville, WA 98072-8475

Phone

(425) 264-4245

NPI assigned

Mar 7, 2026

Organization subpart

No

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

Authorized official

Name

Rebekah R Hage, MSW LICSWNPI 1063719912

Title

Co-Owner

Phone

(425) 264-4245

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebekah R Hage, LICSW

  • Clinical Social Worker
  • Bothell, WA
  • NPI 1063719912
  NPD Authorized official
• Karlee L Wilson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodinville, WA
  • NPI 1548951726
  NPD (past)

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

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772841600000",
    "number": "1417803966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23322 25TH DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219536",
            "telephone_number": "605-521-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 NE N WOODINVILLE WAY STE 104",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728475",
            "telephone_number": "425-264-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A",
        "authorized_official_last_name": "HAGE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-264-4245",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Woodinville, WA
• Providers in Woodinville, 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 Mar 7, 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.

Verify at the official NPI Registry.