Individual provider Active NPI

Levi R Williams

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1679245443
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61229413 Issued in WA
Practice address
126 NW Canal St Ste 200
Seattle, WA 98107-4970
Phone
(206) 486-1500
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60623527 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61229413 WA Primary

Addresses

Primary practice location

126 NW Canal St Ste 200
Seattle, WA 98107-4970

Mailing address

126 NW Canal St Ste 200
Seattle, WA 98107-4970
Phone (206) 486-1500

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220315000200 WA Practitioner - Nurse Practitioner 9335534155 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61229413WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Sep 15, 2022 Accepting new patients
Sound CurrentSince Dec 3, 2021 Accepting new patients
Poppy Interventional Psychiatry CurrentSince Oct 5, 2025 Accepting new patients
Clear Path Psychiatry PastSince May 25, 2025 Accepting new patients

Locations

4238 Auburn Way N
Auburn, WA 98002
Phone (253) 444-0106

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800

126 NW Canal St
Ste 200
Seattle, WA 98107
Phone (206) 486-1500

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600

Organizations & group practices 4

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1679245443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 NW CANAL ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074970",
            "telephone_number": "206-486-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 NW CANAL ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074970",
            "telephone_number": "206-486-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LEVI",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60623527",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61229413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.