Active NPI
Rachel Elizabeth Primeau, SUDP
- Addiction (Substance Use Disorder) Counselor
- Bellevue, WA
National Provider Identifier
1629642327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 60888113
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60888113 | WA | MD | Addiction (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.