Individual provider Active NPI

Suzanne S Blinstrub, LMHC

  • Addiction (Substance Use Disorder) Registered Nurse
  • Bellevue, WA
National Provider Identifier
1467560243
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
RN00096488 Issued in WA
Practice address
11016 NE 2ND PL
Bellevue, WA 98004-5830
Phone
(425) 646-7892
Fax
(425) 640-0796
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00004630 WA
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN00096488 WA Primary

Addresses

Primary practice location

11016 NE 2ND PL
Bellevue, WA 98004-5830

Mailing address

11016 NE 2ND PL
Bellevue, WA 98004-5830
Phone (425) 646-7892

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

State licenses

LicenseStateTypeSpecialty
LH00004630WAMDMental Health Counselor
RN00096488WAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467560243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11016 NE 2ND PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045830",
            "telephone_number": "425-646-7892",
            "fax_number": "425-640-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 NE 2ND PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045830",
            "telephone_number": "425-646-7892",
            "fax_number": "425-640-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINSTRUB",
        "first_name": "SUZANNE",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004630",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "RN00096488",
            "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 Sep 11, 2025; 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.