Individual provider Active NPI

Raisa Felts, PSYD

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1558101345
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61104244 Issued in WA
Practice address
16301 NE 8TH St Ste 200
Bellevue, WA 98008-3960
Phone
(425) 616-1261
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 MC61104244 WA
Mental Health Counselor 101YM0800X 61104244 WA Primary

Addresses

Primary practice location

16301 NE 8TH St Ste 200
Bellevue, WA 98008-3960

Mailing address

16301 NE 8TH St Ste 200
Bellevue, WA 98008-3960
Phone (425) 616-1261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 11, 2024 through Nov 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61104244WAMDMental Health Counselor
MC61104244WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Betrayal Trauma Recovery Center Mental Health CurrentSince Jun 2, 2024 Accepting new patients

Locations

16301 NE 8th St
Ste 200
Bellevue, WA 98008
Phone (425) 616-1261

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1558101345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16301 NE 8TH ST STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083960",
            "telephone_number": "425-616-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16301 NE 8TH ST STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083960",
            "telephone_number": "425-616-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "RAISA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61104244",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61104244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.