NPIMap

Organization Active NPI

Optum Behavioral Care of Colorado, P.C.

Doing business as Salveo Counseling Center of Washington

  • Clinical Psychologist
  • Kirkland, WA
National Provider Identifier
1629812409
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Doing business as
Salveo Counseling Center of Washington
Practice address
13128 Totem Lake Blvd NE Ste 104
Kirkland, WA 98034-2953
Phone
(425) 202-7748
NPI assigned
Jun 25, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Leslie R Fuchs
Title
Admin Ceo
Phone
(810) 358-1643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE Ste 104
Kirkland, WA 98034-2953

Mailing address

11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (877) 299-5426

Other practice location 1

1836 Westlake Ave N Ste 300A
Seattle, WA 98109-2781
Phone (425) 868-5777

Other practice location 2

15965 NE 85th St Ste 101
Redmond, WA 98052-3593
Phone (425) 968-2079

Other practice location 3

16150 NE 85th St Ste 121
Redmond, WA 98052-3542
Phone (425) 868-5777

Other names 1

  • Salveo Counseling Center of Washington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241017002871 WA Part B Supplier - Clinic/Group Practice 0941648463 Receives reassigned benefits from 6 practitioners
2 other NPIs on this enrollment
Practice locations: Everett, WA

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

13128 Totem Lake Blvd NE
Ste 104
Kirkland, WA 98034
Phone (425) 202-7748

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1629812409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "877-299-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE STE 104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-202-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 Westlake Ave N Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981092781",
            "country_code": "US",
            "telephone_number": "425-868-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15965 NE 85th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523593",
            "country_code": "US",
            "telephone_number": "425-968-2079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16150 NE 85th St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523542",
            "country_code": "US",
            "telephone_number": "425-868-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMIN CEO",
        "authorized_official_telephone_number": "810-358-1643"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salveo Counseling Center of Washington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salveo Counseling Center of Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.

Verify at the official NPI Registry.