Individual provider Active NPI

Nev Trakic, MA

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1558815688
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60412270 Issued in WA
Practice address
4120 Stone Way N
Seattle, WA 98103-8014
Phone
(206) 461-3707
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60412270 WA Primary

Addresses

Primary practice location

4120 Stone Way N
Seattle, WA 98103-8014

Mailing address

4120 Stone Way N
Seattle, WA 98103-8014
Phone (206) 461-3707

Other names 1

  • Nevena Trakic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123001135 WA Practitioner - Mental Health Counselor 8921450297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60412270WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound CurrentSince Jan 1, 2024 Accepting new patients
Community Psychiatric Clinic Inc Past Accepting new patients

Locations

11000 Lake City Way NE
Seattle, WA 98125
Phone (206) 461-3614

1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800

6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600

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.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1558815688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038014",
            "telephone_number": "206-461-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 STONE WAY N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038014",
            "telephone_number": "206-461-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAKIC",
        "first_name": "NEV",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60412270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEVENA",
            "last_name": "TRAKIC",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.