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Clysta Cole , CPSS

Peer Specialist β€’ Seattle, WA

Active NPI 1104530526 Individual Practitioner Female Practitioner
Practice location in NPPES

2212 S Jackson St
Seattle, WA 981442591

Call 2063222387 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

2212 S Jackson St

Seattle, WA 981442591

Telephone 2063222387
Organization at the Same NPPES Address or Phone
Matrx Pharmacy, Llc Facility NPI 1578284691

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 Seattle, 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

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

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0% of these 301 clinicians have the CMS telehealth indicator.

0% of these 301 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: 2026-01-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES WA 70074097

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.

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

2100 24th Ave S

Seattle, WA 981444637

Phone: 2063825340

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
Diana Katz , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093193047

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location January 12, 2026

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

πŸ“
Updated Business Mailing Address January 12, 2026

Registered at 2212 S JACKSON ST, SEATTLE, WA 981442591 (Tel: 2063222387)

πŸ“
Updated Business Mailing Address December 15, 2025

Registered at PO BOX 2429, LONGVIEW, WA 986328486

πŸ‘€
Provider Name / Credentials Updated December 15, 2025

Recorded as CLYSTA COLE, CPSS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Peer Specialist (license number reported to NPPES: WA 70074097)

βœ…
NPI Profile Active January 10, 2023

NPI status registered as active in NPPES database

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

Registered at 2100 24TH AVE S, SEATTLE, WA 981444637 (Tel: 2063825340)

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

Registered at 2100 24TH AVE S, SEATTLE, WA 981444637

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

Recorded as CLYSTA COLE

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

Counselor

🟒
Initial NPI Registration & Enumeration January 10, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104530526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2023
Last Update: January 12, 2026
Sole Proprietor: Yes

Mailing Address

2212 S Jackson St

Seattle, WA 981442591

Phone: 2063222387

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.