Active NPI
Paul Ralph Duke, LMHCA
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1770955833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60601466
- Practice address
- 2370 130TH Ave NE
Bellevue, WA 98005-1770 - Phone
- (425) 628-2820
- NPI assigned
- Oct 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60601466 | WA | Primary |
Addresses
Primary practice location
2370 130TH Ave NE
Bellevue, WA 98005-1770
Mailing address
6112 N Park Ave
Tacoma, WA 98407-2211
Phone (253) 495-2513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60601466 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1770955833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 N PARK AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984072211",
"telephone_number": "253-495-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 130TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980051770",
"telephone_number": "425-628-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "PAUL",
"middle_name": "RALPH",
"name_prefix": "Mr.",
"credential": "LMHCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-28",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60601466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.