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David Joseph Wilson , SUDPT

Counselor β€’ Seattle, WA

Active NPI 1447940648 Individual Practitioner Male Practitioner
Practice location in NPPES

11000 Lake City Way Ne
Seattle, WA 981256748

Call 2069012000 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

11000 Lake City Way Ne

Seattle, WA 981256748

Telephone 2069012000
Organization at the Same NPPES Address or Phone
Community Psychiatric Clinic Inc Facility NPI 1629120159

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

NPI first issued

2023

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 Seattle and Washington

2,279 active clinicians are listed under Counselor with a practice address in Seattle, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0.2% of these 2,279 clinicians have the CMS telehealth indicator.

0.7% of these 2,279 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: 2024-09-23
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA 61429933

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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

Clinicians Sharing This Practice Address or Phone

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

1 listed
Erinn King , PA-C

Physician Assistant

NPI 1023128923

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location September 23, 2024

Registered at 11000 LAKE CITY WAY NE, SEATTLE, WA 981256748 (Tel: 2069012000)

πŸ“
Updated Business Mailing Address September 23, 2024

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

βœ…
NPI Profile Active May 10, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2023

Registered at 16715 AURORA AVE N STE 102, SHORELINE, WA 981335310 (Tel: 2064051645)

πŸ“
Business Mailing Address (Initial Record) May 10, 2023

Registered at 612 9TH AVE N, EDMONDS, WA 980203039 (Tel: 4253736950)

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2023

Recorded as DAVID WILSON, SUDPT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Counselor (license number reported to NPPES: WA 61429933)

🟒
Initial NPI Registration & Enumeration May 10, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1447940648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2023
Last Update: September 23, 2024
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.