| Connectionswa, Llc | |
|
11410 Ne 122nd Way Ste S250 Kirkland WA 98034-6945 | |
| (520) 301-2400 | |
| Not Available |
| Full Name | Connectionswa, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11410 Ne 122nd Way Ste S250, Kirkland, Washington |
| Authorized Official Name and Position | Cheryl Boyle (DIRECTOR, CRED) |
| Authorized Official Contact | 7376006039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connectionswa, Llc 1205 S 7th Ave Ste 105 Phoenix AZ 85007-3913 Ph: (602) 253-5100 | Connectionswa, Llc 11410 Ne 122nd Way Ste S250 Kirkland WA 98034-6945 Ph: (520) 301-2400 |
| NPI Number | 1114607140 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 12/09/2025 |
| Certification Date | 12/09/2025 |
| Medicare PECOS PAC ID | 9032658687 |
|---|---|
| Medicare Enrollment ID | O20240827001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114607140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
| Provider Name | Vincent Peter Otundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801361126 PECOS PAC ID: 0749617835 Enrollment ID: I20200302002428 |
| Provider Name | Frank Charles Bashumika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868126 PECOS PAC ID: 2163823162 Enrollment ID: I20210629000462 |
| Provider Name | Alysse Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447726377 PECOS PAC ID: 8325386048 Enrollment ID: I20220628001960 |
| Provider Name | Georgina Ita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477262772 PECOS PAC ID: 8224400718 Enrollment ID: I20230209001708 |
| Provider Name | Linda Josephine Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194422444 PECOS PAC ID: 1658738067 Enrollment ID: I20230530002781 |
| Provider Name | Amy Brumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194458398 PECOS PAC ID: 2466806963 Enrollment ID: I20231003001563 |
| Provider Name | Kyle H Jasper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649703075 PECOS PAC ID: 5799057410 Enrollment ID: I20231201000312 |
| Provider Name | Jessica Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982211124 PECOS PAC ID: 9830503796 Enrollment ID: I20240614003504 |
| Provider Name | Austina Mercy Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942783477 PECOS PAC ID: 9234460007 Enrollment ID: I20250211002886 |
| Provider Name | Nsemboowo Enyong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477328839 PECOS PAC ID: 1254505712 Enrollment ID: I20250305002674 |
| Provider Name | Stacy Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043325541 PECOS PAC ID: 5597948851 Enrollment ID: I20250530000963 |
| Provider Name | Timothy Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932972593 PECOS PAC ID: 9133638976 Enrollment ID: I20250603001545 |
| Provider Name | Lauren Ralph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437881034 PECOS PAC ID: 4082076427 Enrollment ID: I20250605002759 |
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Kailani Counseling & Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12220 113th Ave Ne Ste 210, Kirkland, WA 98034 Phone: 206-312-7426 Fax: 206-339-1550 | |
Ioana Diaconu, Md, Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, 200, Kirkland, WA 98033 Phone: 425-889-5045 | |
Timothy A Rogge, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000 | |
Lake Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10415 Ne 37th Cir Bldg 4, Kirkland, WA 98033 Phone: 206-590-1331 | |
Larry W. Einspahr, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033 Phone: 206-999-2486 Fax: 360-871-1942 | |
Roots Counseling & Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 9th St Apt E101, Kirkland, WA 98033 Phone: 970-658-9704 |