Individual provider Active NPI

Raquel Flores

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1629447867
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61121873 Issued in WA
Practice address
500 19TH Ave E
Seattle, WA 98112-4072
Phone
(206) 299-1957
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC60550465 WA
Mental Health Counselor 101YM0800X LH61121873 WA Primary

Addresses

Primary practice location

500 19TH Ave E
Seattle, WA 98112-4072

Mailing address

631 215TH St SW
Bothell, WA 98021-8151
Phone (206) 601-1527

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
I20240202002607 WA Practitioner - Mental Health Counselor 5294178588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Roots Community HealthGroup PAC ID 8628966173, 50 clinicians

Practice addresses (Care Compare)

500 19TH Ave E
Seattle, WA 98112-4007
Phone (208) 299-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC60550465WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Roots Community Health CurrentSince Jan 30, 2024 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health CurrentSince Jan 30, 2024 Accepting new patients
Seattle Roots Community Health Past Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

Organizations & group practices 5

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1629447867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 215TH ST SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218151",
            "telephone_number": "206-601-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 19TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124072",
            "telephone_number": "206-299-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60550465",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61121873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.