Organization Active NPI

Magnolia Mental Health Washington LLC

  • Community/Behavioral Health Agency
  • Bellevue, WA
National Provider Identifier
1548175292
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAGNOLIA MENTAL HEALTH WASHINGTON LLC
Practice address
12207 NE 8TH St
Bellevue, WA 98005-3113
Phone
(425) 441-3589
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Jack Brennan
Title
Authorized Official
Phone
(425) 441-3589

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12207 NE 8TH St
Bellevue, WA 98005-3113

Mailing address

12207 NE 8TH St
Bellevue, WA 98005-3113
Phone (425) 441-3589

National Provider Directory

National Provider Directory

Locations

12207 NE 8th St
Bellevue, WA 98005
Phone (425) 441-3589

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1548175292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12207 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053113",
            "telephone_number": "425-441-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12207 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053113",
            "telephone_number": "425-441-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MENTAL HEALTH WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "425-441-3589"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Aug 17, 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.