Active NPI
Raphael Recovery and Support LLC
- Psychiatry Physician
- Olympia, WA
National Provider Identifier
1578375879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- RAPHAEL RECOVERY AND SUPPORT LLC
- Practice address
- 2024 Caton Way SW
Olympia, WA 98502-8201 - Phone
- (657) 767-4837
- Fax
- (800) 507-2906
- NPI assigned
- Jan 23, 2025
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Valdenegro
- Title
- Owner
- Phone
- (406) 461-0960
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2024 Caton Way SW
Olympia, WA 98502-8201
Mailing address
2024 Caton Way SW Ste 203
Olympia, WA 98502-8210
Phone (657) 767-4837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2024 Caton Way SW
Olympia, WA 98502
Phone (360) 358-1506
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lacey, WA
- NPI 1255926853
-
- Psychiatric/Mental Health Nurse Practitioner
- Lacey, WA
- NPI 1609610484
-
- Psychiatric/Mental Health Nurse Practitioner
- Lacey, WA
- NPI 1831856319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1578375879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 CATON WAY SW STE 203",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028210",
"telephone_number": "657-767-4837",
"fax_number": "800-507-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 CATON WAY SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028201",
"telephone_number": "657-767-4837",
"fax_number": "800-507-2906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHAEL RECOVERY AND SUPPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-23",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "VALDENEGRO",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-461-0960"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.