Healthcare Provider Details

I. General information

NPI: 1841033685
Provider Name (Legal Business Name): TRACEY OKADA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N 36TH ST STE 426
SEATTLE WA
98103-8827
US

IV. Provider business mailing address

600 N 36TH ST STE 426
SEATTLE WA
98103-8827
US

V. Phone/Fax

Practice location:
  • Phone: 601-689-4892
  • Fax:
Mailing address:
  • Phone: 601-689-4892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: