Organization Active NPI

Yen Family Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Bellevue, WA
National Provider Identifier
1710400346
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LW00004429 Issued in WA
Legal business name
YEN FAMILY WELLNESS, LLC
Practice address
826 102ND Ave NE Ste 300
Bellevue, WA 98004-4158
Phone
(425) 870-7192
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Laura Alisa Yen, MSW, LICSW
Title
Owner
Phone
(425) 870-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LW00004429 WA Primary

Addresses

Primary practice location

826 102ND Ave NE Ste 300
Bellevue, WA 98004-4158

Mailing address

826 102ND Ave NE Ste 300
Bellevue, WA 98004-4158
Phone (425) 870-7192

Other names 1

  • Laura Yen, LICSW Doing business as

National Provider Directory

National Provider Directory

Locations

826 102nd Ave NE
Ste 300
Bellevue, WA 98004
Phone (425) 429-2499

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710400346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 102ND AVE NE STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044158",
            "telephone_number": "425-870-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 102ND AVE NE STE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044158",
            "telephone_number": "425-870-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEN FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-870-7192",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "LW00004429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Yen, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.