Active NPI
Rebekah Watanabe
- Mental Health Counselor
- Mill Creek, WA
National Provider Identifier
1487180089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61167030
- Practice address
- 17522 Clover Rd
Mill Creek, WA 98012-9126 - Phone
- (206) 271-4255
- NPI assigned
- May 3, 2017
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CG60736007 | WA | |
| Mental Health Counselor | 101YM0800X | 61167030 | WA | Primary |
Addresses
Primary practice location
17522 Clover Rd
Mill Creek, WA 98012-9126
Mailing address
17522 Clover Rd
Mill Creek, WA 98012-9126
Phone (206) 271-4255
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61167030 | WA | MD | Mental Health Counselor |
| CG60736007 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Organization for Research and Learning, Inc | Past | Accepting new patients | |
| Organization for Research and Learning | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Counselor
- Seattle, WA
- NPI 1730519760
-
- Behavior Analyst
- Seattle, WA
- NPI 1265710933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1487180089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17522 CLOVER RD",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129126",
"telephone_number": "206-271-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17522 CLOVER RD",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980129126",
"telephone_number": "206-271-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATANABE",
"first_name": "REBEKAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CG60736007",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "61167030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.