Crescent Outpatient and Wellness PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CRESCENT OUTPATIENT AND WELLNESS PLLC

Practice address

9725 SE 36TH St Ste 205
Mercer Island, WA 98040-3840

Phone

(425) 495-0727

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

Rebekah Vigileos, PMHNPNPI 1295445559

Title

Ceo

Phone

(480) 434-9153

Specialties & licenses 4

Addresses

Tax ID family

Crescent Outpatient and Wellness PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crescent Outpatient and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mercer Island, WA
  • NPI 1841984119
  NPD tax ID

Locations

Practitioners 1

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

• Rebekah Vigileos, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mercer Island, WA
  • NPI 1295445559
  NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1497454342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST STE 205",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403840",
            "telephone_number": "425-495-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SE 36TH ST STE 205",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403840",
            "telephone_number": "425-495-0727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 SE 36th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980403848",
            "country_code": "US",
            "telephone_number": "425-553-2747",
            "fax_number": "206-317-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRESCENT OUTPATIENT AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "VIGILEOS",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-434-9153",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Dewitt Conrad, M.D.
• Cormedical, Inc.
• Jillian Clarke Correa
• Covenant Living West
• Creative Speech and Language Services PLLC
• Crescent Outpatient and Wellness PLLC
• Stephanie Tisdel Creswell, MA, LMHC, CMHS, MPH
• Katherine Crouch, LCSW
• Tiffany Cruikshank, L.AC
• Cura Healthcare

• Adult Mental Health Clinic/Center in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.