Individual provider Active NPI

Rachel Elizabeth Primeau, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Bellevue, WA
National Provider Identifier
1629642327
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60888113 Issued in WA
Practice address
1391 145TH PL SE Apt C
Bellevue, WA 98007-5592
Phone
(206) 294-6736
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 60888113 WA Primary

Addresses

Primary practice location

1391 145TH PL SE Apt C
Bellevue, WA 98007-5592

Mailing address

1391 145TH PL SE Apt C
Bellevue, WA 98007-5592
Phone (206) 294-6736

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bellevue Direct Discovery Behavioral Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60888113WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1629642327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 145TH PL SE APT C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075592",
            "telephone_number": "206-294-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 145TH PL SE APT C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980075592",
            "telephone_number": "206-294-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMEAU",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60888113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bellevue",
            "affiliation": "Y",
            "affiliationName": "Discovery Behavioral Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 SE Douglas St",
            "address_2": "Suite E",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 17, 2021; 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.