Individual provider Active NPI

Louelle Nadela

  • Behavior Analyst
  • Auburn, WA
National Provider Identifier
1962991265
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31987 Issued in WA
Practice address
110 2ND St SW Ste 140
Auburn, WA 98001-5203
Phone
(206) 480-6344
Fax
(253) 216-2821
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-16-25872 WA
Behavior Analyst 103K00000X 1-18-31987 WA Primary

Addresses

Primary practice location

110 2ND St SW Ste 140
Auburn, WA 98001-5203

Mailing address

15428 SE 252ND PL
Covington, WA 98042-4192

Other practice location 1

27023 164th Ave SE
Covington, WA 98042-8241
Phone (253) 639-7146

Other practice location 2

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 3

4412 6th Ave
Tacoma, WA 98406-3500
Phone (253) 285-7180

Other practice location 4

15428 SE 252nd Pl
Covington, WA 98042-4192
Phone (206) 480-6344

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

LicenseStateTypeSpecialty
RBT-16-25872WAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Behavior Specialists LLC Behavior Analyst CurrentSince Oct 1, 2020 Accepting new patients
Mindsource Center, LLC Past Accepting new patients

Locations

110 2nd St SW
Ste 140
Auburn, WA 98001
Phone (206) 480-6344

Organizations & group practices 2

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1962991265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15428 SE 252ND PL",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST SW STE 140",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980015203",
            "telephone_number": "206-480-6344",
            "fax_number": "253-216-2821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27023 164th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980428241",
            "country_code": "US",
            "telephone_number": "253-639-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21600 Oxnard St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913677807",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4412 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984063500",
            "country_code": "US",
            "telephone_number": "253-285-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15428 SE 252nd Pl",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "WA",
            "postal_code": "980424192",
            "country_code": "US",
            "telephone_number": "206-480-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADELA",
        "first_name": "LOUELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "RBT-16-25872",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-18-31987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.