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Michael Faustino Devore

Peer Specialist β€’ Monroe, WA

Active NPI 1689411977 Individual Practitioner Male Practitioner
Practice location in NPPES

809 W Main St Ste C
Monroe, WA 982722172

Call 2067452754 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

809 W Main St Ste C

Monroe, WA 982722172

Telephone 2067452754
Organization at the Same NPPES Address or Phone
Conquer Addiction Pllc Facility NPI 1255001624

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Redmond, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Monroe and Washington

12 active clinicians are listed under Peer Specialist with a practice address in Monroe, WA (2,632 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Monroe

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-27
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA PR70054100

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61622856

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

16225 Ne 87th St Ste 160

Redmond, WA 980523536

Phone: 2069012000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Christi Dahlgren , PA-C

Physician Assistant - Medical

NPI 1710302831

Physician Assistant (Certified)

Jacob Grillo , PA-C

Physician Assistant - Medical

NPI 1043612575

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Counselor (license number reported to NPPES: WA CG61622856)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Counselor

πŸ“
Updated Business Mailing Address November 17, 2025

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2069012000)

βœ…
NPI Profile Active July 12, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 12, 2024

Registered at 809 W MAIN ST STE C, MONROE, WA 982722172 (Tel: 2067452754)

πŸ“
Business Mailing Address (Initial Record) July 12, 2024

Registered at 3632 RUCKER AVE APT 208, EVERETT, WA 982015118 (Tel: 6197012375)

πŸ‘€
Provider Name / Credentials (Initial Record) July 12, 2024

Recorded as MICHAEL DEVORE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Peer Specialist

🟒
Initial NPI Registration & Enumeration July 12, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689411977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2024
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Phone: 2069012000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.