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Deidre Jenae Johnson , ATC, LAT

Counselor β€’ Seattle, WA

Active NPI 1912470089 Individual Practitioner Female Practitioner
Practice location in NPPES

515 3rd Ave
Seattle, WA 981042304

Call 2064641570 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

515 3rd Ave

Seattle, WA 981042304

Telephone 2064641570
Organization at the Same NPPES Address or Phone
Downtown Emergency Service Center Facility NPI 1447375332

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 2 distinct additional practice-address records in Bellevue, WA; Tukwila, 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

2019

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: 2025-05-19
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES WA A161196040

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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

Secondary Practice Locations

15810 39th Pl S Apt B13

Tukwila, WA 981882657

Phone: 2069318776

13425 Se 30th St Ste 2c

Bellevue, WA 980054450

Phone: 4258004488

Clinicians Sharing This Practice Address or Phone

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

4 listed
Dr. Rebecca Chen , MD

Family Medicine

NPI 1083318216

Doctor of Medicine (M.D.)

Dr. Jacqueline Chipkin , MD

Psychiatry & Neurology - Psychiatry

NPI 1144856071

Doctor of Medicine (M.D.)

Dr. Sarah Philp , MD

Family Medicine - Addiction Medicine

NPI 1952394702

Doctor of Medicine (M.D.)

Esme Roddy

Nurse Practitioner - Psychiatric/Mental Health

NPI 1710552450

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location May 19, 2025

Registered at 515 3RD AVE, SEATTLE, WA 981042304 (Tel: 2064641570)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2025

Specialist/Technologist (license number reported to NPPES: WA A161196040)

πŸ“
Updated Practice Location September 29, 2021

Registered at 13425 SE 30TH ST STE 2C, BELLEVUE, WA 980054450 (Tel: 4258004488)

πŸ‘€
Provider Name / Credentials Updated September 29, 2021

Recorded as DEIDRE JOHNSON, ATC, LAT

βœ…
NPI Profile Active January 10, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 10, 2019

Registered at 1500 UNIVERSITY DRIVE, RIMROCK 503, BILLINGS, MT 59101 (Tel: 2069318776)

πŸ“
Business Mailing Address (Initial Record) January 10, 2019

Registered at 119 GLENNWOOD PL NE, RENTON, WA 980565807 (Tel: 2069318776)

πŸ‘€
Provider Name / Credentials (Initial Record) January 10, 2019

Recorded as DEIDRE JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration January 10, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912470089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2019
Last Update: May 19, 2025
Sole Proprietor: No

Mailing Address

119 Glennwood Pl Ne

Renton, WA 980565807

Phone: 2069318776

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.