Harbor Youth And Family Counseling - Medicare Mental Health Clinic in Tukwila, WA

Harbor Youth And Family Counseling is a medicare enrolled mental health clinic (Counselor - Mental Health) in Tukwila, Washington. The current practice location for Harbor Youth And Family Counseling is 16000 Christensen Rd Ste 200, Tukwila, Washington. For appointments, you can reach them via phone at (833) 719-0886. The mailing address for Harbor Youth And Family Counseling is 16000 Ne Christensen Dr, Suite 200, Tukwila, Washington and phone number is (702) 589-4871.

Harbor Youth And Family Counseling is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205466265. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (833) 719-0886.

Contact Information

Harbor Youth And Family Counseling
16000 Christensen Rd Ste 200
Tukwila
WA 98188-2925
(833) 719-0886
(702) 589-4872

Map and Direction


Mental Health Clinic Profile

Full NameHarbor Youth And Family Counseling
SpecialityCounselor
Location16000 Christensen Rd Ste 200, Tukwila, Washington
Authorized Official Name and PositionJulian Cortez (LEAD CREDENTIALING SPECIALIST)
Authorized Official Contact6197812418
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Harbor Youth And Family Counseling
16000 Ne Christensen Dr
Suite 200
Tukwila
WA 98188

Ph: (702) 589-4871
Harbor Youth And Family Counseling
16000 Christensen Rd Ste 200
Tukwila
WA 98188-2925

Ph: (833) 719-0886

NPI Details:

NPI Number1205466265
Provider Enumeration Date01/17/2020
Last Update Date03/28/2024
Certification Date03/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7012338981
Medicare Enrollment IDO20200601002016

Medical Identifiers

Medical identifiers for Harbor Youth And Family Counseling such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205466265NPI-NPPES
2124910MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary
251B00000XCase Management (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Harbor Youth And Family Counseling acts as a billing entity for following providers:
Provider NameRita Ann Kostelik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003009135
PECOS PAC ID: 6507927100
Enrollment ID: I20081201000479
Provider NameCathleen M Bozek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629385042
PECOS PAC ID: 8628262870
Enrollment ID: I20101101001227
Provider NameRobin Kenning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700215225
PECOS PAC ID: 8628290814
Enrollment ID: I20160602001598
Provider NameMelody B Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295164044
PECOS PAC ID: 0446481956
Enrollment ID: I20170105001391
Provider NameArvinder Kaul
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396792578
PECOS PAC ID: 4486680121
Enrollment ID: I20180615001143
Provider NameFadumo I Omar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164913893
PECOS PAC ID: 9234477738
Enrollment ID: I20190207002021
Provider NameSelena Diaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548725427
PECOS PAC ID: 5496088627
Enrollment ID: I20190603002792
Provider NameKathy T Gere
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205950060
PECOS PAC ID: 7810051356
Enrollment ID: I20190812001986
Provider NameAbebe F Belete
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871131151
PECOS PAC ID: 1052747862
Enrollment ID: I20200213002248
Provider NameAudrey Cavins-ezell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154899805
PECOS PAC ID: 3971848839
Enrollment ID: I20200303002665
Provider NameToni M Keel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841835782
PECOS PAC ID: 7719308535
Enrollment ID: I20200603002880
Provider NameGina Renee Miles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124651419
PECOS PAC ID: 4284055658
Enrollment ID: I20200611000504
Provider NameAdelle Stubblefield
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508234550
PECOS PAC ID: 3072853530
Enrollment ID: I20201231001490
Provider NameBethany Ann Bruner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376104232
PECOS PAC ID: 2062828973
Enrollment ID: I20210301001439
Provider NameYouwen Hu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134720139
PECOS PAC ID: 8628485661
Enrollment ID: I20210318001769
Provider NameStephanie Lamigo Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811410657
PECOS PAC ID: 7113321266
Enrollment ID: I20210811002068
Provider NameBenjamin A Mclean
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1871024927
PECOS PAC ID: 2062745599
Enrollment ID: I20211108002637
Provider NameHeidi Chiyomi Yamamoto
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265106942
PECOS PAC ID: 4183010374
Enrollment ID: I20220418000360
Provider NameNakyung Lisa Choe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669143665
PECOS PAC ID: 0042697542
Enrollment ID: I20220523002691
Provider NameAdora Anulika Akwuba
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740725498
PECOS PAC ID: 6608150792
Enrollment ID: I20220628000778
Provider NameCatherine Wanjiru Omolo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700557477
PECOS PAC ID: 8820479868
Enrollment ID: I20220721001898
Provider NameNima Alinejad
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043310808
PECOS PAC ID: 7214074418
Enrollment ID: I20220823000440
Provider NameKippy Mcelya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881332781
PECOS PAC ID: 5092717975
Enrollment ID: I20220824002435
Provider NameTeshome Shikesso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124592357
PECOS PAC ID: 7214311760
Enrollment ID: I20220831003665
Provider NameJesse Wayne Coburn
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902463086
PECOS PAC ID: 4688060593
Enrollment ID: I20220920000448
Provider NameAnnie Lynda Houendjou Badjio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013635614
PECOS PAC ID: 7113303165
Enrollment ID: I20220929000364
Provider NameJessica A De Larwelle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811566409
PECOS PAC ID: 9739565102
Enrollment ID: I20221008000124
Provider NameTaylor Ashley Osborne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114660867
PECOS PAC ID: 5799152625
Enrollment ID: I20221107002379
Provider NameRaymond G Fredrickson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902495351
PECOS PAC ID: 4284001702
Enrollment ID: I20221111001900
Provider NameElizabeth Nnenna Emeri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649897174
PECOS PAC ID: 1355757857
Enrollment ID: I20230125003086
Provider NameDanette Louise Delo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255069530
PECOS PAC ID: 7214308253
Enrollment ID: I20230130001554
Provider NameKyleigh L Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538411483
PECOS PAC ID: 0345615712
Enrollment ID: I20230417002956
Provider NamePamela May Olson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841986049
PECOS PAC ID: 5395100267
Enrollment ID: I20230427002273
Provider NameNicholas Hollister
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275074445
PECOS PAC ID: 3476886904
Enrollment ID: I20230522000688
Provider NameImecca Akpa
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1699306431
PECOS PAC ID: 7719349596
Enrollment ID: I20230810001187
Provider NameShola Adewunmi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073168449
PECOS PAC ID: 4082946074
Enrollment ID: I20230907001240
Provider NameBrian John Berrett
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396107595
PECOS PAC ID: 6103104815
Enrollment ID: I20230914003299
Provider NameEvghenii Valentin Jignea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417631516
PECOS PAC ID: 4183078124
Enrollment ID: I20230926001152
Provider NameDavid Wait
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245306760
PECOS PAC ID: 4789772146
Enrollment ID: I20230928002057
Provider NamePatricia Bhama
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871838797
PECOS PAC ID: 0042439135
Enrollment ID: I20231002000956
Provider NameDebbie Ezinwanyi Weze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184349482
PECOS PAC ID: 4981077138
Enrollment ID: I20231010002106
Provider NameKristine Lynn Holland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649951195
PECOS PAC ID: 5395191415
Enrollment ID: I20231026000670
Provider NameLudmilia Naomi Vitovitz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568002293
PECOS PAC ID: 9537517107
Enrollment ID: I20231121002578
Provider NameSara Lynne Elkington
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871989368
PECOS PAC ID: 4981052453
Enrollment ID: I20231121002700
Provider NameHazel Rose King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558905356
PECOS PAC ID: 1850720673
Enrollment ID: I20231206000312
Provider NameKimberly Wilkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023797149
PECOS PAC ID: 2961852835
Enrollment ID: I20231219002625
Provider NameJohn C Keel
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1063978559
PECOS PAC ID: 9638520620
Enrollment ID: I20240103003552
Provider NameRuth Anne Rasmussen
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1043516578
PECOS PAC ID: 6204287816
Enrollment ID: I20240108006199
Provider NameFred William Schwartz
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1134851165
PECOS PAC ID: 6305297870
Enrollment ID: I20240109002597
Provider NameKathyrn Lee Martin
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780876938
PECOS PAC ID: 8628411956
Enrollment ID: I20240202003944
Provider NameHeidi Ann Geier
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1538411061
PECOS PAC ID: 4284077090
Enrollment ID: I20240208002988
Provider NameTrisha Merwin
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1770919607
PECOS PAC ID: 8123463221
Enrollment ID: I20240228003170
Provider NameJanamjeet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649034968
PECOS PAC ID: 8628416872
Enrollment ID: I20240405003177
Provider NameKimberlee V Wilson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1306134929
PECOS PAC ID: 3678890563
Enrollment ID: I20240407000022
Provider NameMarguerite Victoria Donaldson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578688131
PECOS PAC ID: 4880989383
Enrollment ID: I20240422001794
Provider NameBrandon Ray Chuman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487001434
PECOS PAC ID: 3577850049
Enrollment ID: I20240513000988
Provider NameKi Benjamin Kurtz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194088591
PECOS PAC ID: 8022309038
Enrollment ID: I20240529003015
Provider NameAngela Tankersley Kalem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265020002
PECOS PAC ID: 9931514965
Enrollment ID: I20240606003374

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.